Revenue Integrity Coding Auditor
Revenue Integrity Coding Auditor
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Job Description
Job Title: Revenue Integrity Coding Auditor
FLSA:NonExempt
We are looking for an exceptional Revenue Integrity Coding Auditor to join our practice!
Physicians East PA is a multispecialty multicampus group based out of Greenville NC offering a wide range of specialties. In addition to primary care the practice offers pulmonary and critical care medicine rheumatology dermatology oncology endocrinology cardiology obstetrics and gynecology gastroenterology surgery urology and urgent care. Our 102 providers and over 600 employees provide services for thousands of patients in a 29county region. Our specialists are on staff at ECU Health a 900 bed level one trauma center and the primary teaching hospital for the East Carolina University Brody School of Medicine (ECUBSOM).
Located in the coastal plain area only one hour from the Atlantic Ocean Greenville is the vital center of business industry culture education and health care for eastern North Carolina. Its incomparable quality of life the hospitality of its people its modern outlook and interstate accessibility has contributed to the citys rapid growth. It has become a premier location to raise a family and enjoy a high quality of life. The mild climate and access to rivers and the ocean allows its residents to enjoy water sports golf tennis and other sports outside yearround.
Some of the benefits you will enjoy at Physicians East!
Comprehensive Medical and Prescription Drug Plan
Reduced copays for those that utilize Physicians East Medical Providers!
Convenient onsite employee pharmacy that offers reduced copays!
Dental insurance
Vision insurance
Critical illness and other supplemental insurance plans available with payroll deduction!
Employee assistance program at no cost to employee and covered dependents!
Competitive longterm and shortterm disability plans!
Life insurance provided at no cost to the employee with options to purchase additional protection for you and your family!
401(k) with generous company matching contributions!
Profit Sharing Program!
Flex Spending Account
Company Paid Short Term Disability Insurance
Company Paid Long Term Disability Insurance
Generous PTO program to provide our employees with essential work/ life balance!
Paid holidays in addition to accrued PTO!
Convenient parking onsite and close to where you work!
Employee Discounts Programs to save you money
About us
Physicians East P.A.is a team of skilled healthcare professionals united to meet the challenge of delivering quality costefficient comprehensive healthcare to the people of Eastern North Carolina.
About the role
We are seeking a skilled Revenue Integrity Coding Auditor focused on revenue optimization to join our team. This position involves conducting detailed audits of coding practices identifying areas for improvement and ensuring compliance with industry standards. The ideal candidate will be proactive in uncovering missing revenue opportunities and will collaborate closely with coding and clinical teams to implement best practices.
Supervision Received:Reports to Regulatory Services Manager.
Supervision Exercised:none.
Typical Physical Demands:Requires prolonged standing or sitting while working in an office environment. Requires some bending or stretching. Requires eyehand coordination and manual dexterity sufficient to operate a keyboard photocopier telephone and other office equipment. Requires the ability to distinguish between letters and/or symbols. Requires normal vision range and the absence of colorblindness.
Typical Working Conditions:
Flexible remote position with occasional onsite requirement.
Responsibilities
- Conduct thorough audits of coding practices to ensure compliance with ICD10 CPT and HCPCS guidelines.
- Analyze coding data to identify patterns of under coding over coding and missed revenue opportunities.
- Collaborate with coding and clinical teams to address identified issues and implement best practices for accurate coding.
- Develop and present educational materials and training sessions for coding staff to enhance their knowledge of revenue optimization and compliance.
- Analyze denials to identify trends for revenue optimization
- Stay current on coding regulations payer guidelines and industry standards to ensure the organizations adherence.
- Prepare detailed reports on audit findings highlighting opportunities for revenue recovery and recommendations for improvement.
- Support the implementation of policies and procedures that promote best practices in coding and revenue integrity.
- Maintain confidentiality and comply with all regulatory and compliance requirements.
- Complete any other assignment project or priority as directed by Regulatory Services Manager
Location & commitments
Permanent fulltime role
Remote position with occasional onsite requirement
Flexible schedule
Occasional overtime may be required to meet department goals
Candidate must be located in North Carolina
Candidate requirements
Must be an expert on ICD10 and CPT E/M HCPCS coding systems.
5 Years coding experience
2 years auditing experience
Ideally at least two active coding credentials: CCS CCSP CPC CPMA CDIP RHIT and/or RHIA
Preferred Candidate will have CDI experience
Must have strong keyboarding software analytical and organizational skills. Must possess strong understanding of customer service principles and have welldeveloped written and oral skills.
Affirmative Action/EEO statement
Physicians East P.A.is an equal opportunity employer and will not discriminate against any applicant or employee on the basis of age race color ethnicity religion creed sex (including gender pregnancy sexual orientation and gender identity which includes status as a transgender individual) national origin or ancestry citizenship past current or prospective service in the uniformed services genetic information (including family medical history) physical or mental disability or other legally protected status. Reasonable accommodation will be made for persons with disabilities during the application process and/or at the time of employment. Requests for accommodation should be made to the Human Resources Department as early as possible in the application/employment process. Contact HR Office ator email
Disclaimer
Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job. Duties responsibilities and activities may change at any time with or without notice.
Employment Type
Full-Time
