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The Medical Coding and Audit Manager provides the management for the Trinity Health Of New England (THONE) Audit Department focusing on coding audit and compliance. Responsible for implementing coding initiatives to achieve the outcomes associated with Trinity Health THONE Governmental and Payer rules and guidelines. The Manager PNO Audit ensures that all providers meet regulatory compliance and provides oversight of auditing for the New England Region
What you will do:
Provides technical expertise and recommendations to Audit team and Health Ministries to resolve coding and chart documentation problems impacting the accuracy and consistency of coded data.
Provides staff with coding expertise training and resources on coding procedures and department workflows.
Assists Audit Team with providing feedback and training to providers regarding coding issues found during audits or charge review.
Minimum Qualifications:
Education: A credentialed professional coder. Bachelors Degree in a health care related field preferred.
Experience: 5 7 years of professional coding and auditing. 5 years management experience required.
Skills: Strong knowledge of billing reimbursement CPT-4 and ICD-10-CM coding; strong written and verbal communication skills; strong analytical/critical thinking skills; detail oriented; proficiency with computers required.
Certification: CPC CRC preferred.
Job Skills: Command and comprehensive knowledge of ICD-10 CPT HCPCS. Demonstrates extensive knowledge of payer requirements medical policies and compliance regulations.
Position Highlights and Benefits
Full-Time 40 Hours- Day Shift
Our Mission and Core Values
Great Benefits and Health Insurance Coverage - Starting Day 1
Career growth and advancement potential
Award-winning Patient Access Department
Ministry/Facility Information
Trinity Health Of New England is an integrated health care delivery system that is comprised of world-class providers and facilities dedicated to full spectrum preventative acute and post-acute care. We aim to deliver top level care to increase our communitys overall health at lower costs. While we serve nearly 3 million people we are proud to be a part of a national system that focuses on putting our patients first and having the best colleagues to do so.
Our Commitment
Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.
Required Experience:
Manager
Full-Time