Sr Compliance Audit & Education Specialist

Temple Health • Philadelphia, PA

5d

About The Position

Responsible for reviewing and auditing coded records across specialties for coding and compliance quality. Reports findings, makes recommendations, and presents audit results to physicians within the applicable specialty. Provides orientation and continuing education to Temple Physicians on proper code usage, documentation deficiencies, carrier guidelines, billing tools, and HIPAA and Privacy guidelines. Communicates effectively with providers to further the compliance program. This position requires regular onsite time at various Temple Health locations.

Requirements

• High school diploma or equivalent required.
• Five years of experience in physician medical coding, billing and coding auditing, compliance, clinical documentation, and coding training required.
• General experience in a supervisory role in a hospital setting required.
• One of the following credentials is required: Certified Coding Specialist, Certified Professional Coder, Registered Health Information Administrator, or Registered Health Information Technician.

Nice To Haves

• Bachelor's degree preferred.
• Oncology coding experience preferred, including medical, surgical, and radiation coding.

Responsibilities

• Review and audit coded records across specialties for coding and compliance quality.
• Report audit findings and make recommendations.
• Present audit results to physicians within the applicable specialty.
• Provide orientation and continuing education to Temple Physicians on proper code usage, documentation deficiencies, carrier guidelines, billing tools, and HIPAA and Privacy guidelines.
• Communicate effectively with providers to further the compliance program.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED