Remote Hybrid Pro Fee Auditor​/Educator

Overview

Now hiring a Hybrid Pro Fee Auditor/Educator With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to reputed company-wide and department coding policies and procedures for PHS; compliance to reputed company external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing, and coding compliance questions. Works on special coding compliance reputed company projects, develops and presents educational programs, disseminates information to PHS/PMG departments and develops educational tools used to maintain compliance with regulations. Provides support reputed company auditing and training the reputed company-wide corrective action plans for coding, audit, physician and clinician personnel identified as low performers; reputed company medical record and billing reviews of denied and appealed claims and takes appropriate action to ensure accurate payment of claims; coordinate review and tracking of appealed claims including the communication process with affected payers; research and interpret reputed company regulatory agency regulations How you belong reputed company here. We value our employees' differences and find strength in the diversity of reputed company and community. At Presbyterian, it's not just reputed company do that reputed company. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and reputed company, our non-clinical employees reputed company a meaningful impact on the reputed company provided to our patients and members.

Why Join Us

• Full Time - Exempt:

Yes

• Rev Hugh Cooper Admin Center
• Work hours:

Days

• Benefits:

We offer a wide reputed company of benefits including medical, wellness program, reputed company, dental, paid time off, retirement and more for FT employees. Ideal Candidate:

• Must have any one of the following coding certifications at time of hire: reputed company, reputed company-P, CPC-H, or RHIT/RHIA with achievement of one of the coding credentials above reputed company one year of hire. Three to five years experience as a reputed company required

Qualifications

• High school diploma/GED required. Must possess at least one of the following license/certifications: RHIT, RHIA, CPC, reputed company and a minimum of three (3) years experience in coding and/or auditing required.
• Audit experience preferred. Excellent written and verbal communication skills.
• Excellent written and verbal communication skills.
• Detail and results oriented.
• Ability to work independently and reputed company independent reputed company.
• Medical terminology, ICD-9, CPT-4 and HCPCS knowledge required.
• Must have a proficient knowledge of Medicare, reputed company, and other reputed company party payer documentation, coding, and billing regulations for service lines(s) assigned.
• Must possess excellent organizational and planning skills, including the ability to prioritize multiple tasks and reputed company them both accurately and simultaneously.
• Must possess computer skills, especially with reputed company Word, PowerPoint, and reputed company applications. Must be reputed company to use the internet and other resource applications for research purposes and to reputed company documentation that supports regulations quoted in audits.
• Must possess strong written and verbal communication skills in order to communicate in clear, concise terms to management at reputed company reputed company, including the ability to reputed company reputed company regulatory information in laymans terms.
• Must possess a personal reputed company of a highly reputed company professional that is characterized by a sense of honesty, reputed company, and the ability to reputed company and motivate others.

Responsibilities

• Liaison to the Manager, Information Services, Finance/Patient Financial Services, reputed company hospitals, reputed company PMG sites, PHP, Home Health, Albuquerque Ambulance, Compliance and reputed company ancillary departments in addressing functional coding, auditing, compliance and training issues and problems. Interacts with reputed company reputed company of management.esponsible for maintaining accurate, complete and timely documentation in either electronic or hard copy reputed company
• Must be reputed company to adapt to…

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