Medical Group Compliance Auditor Senior
Medical Group Compliance Auditor Senior
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Responsibilities
Performs Reviews clinical documentation to verify accuracy of CPT/HCPSC and ICD.10 codes and modifier assignments.
Provides written report of findings to the provider and select administrative personnel along with recommendations for improvement.
Monitors regulatory and reimbursement information to keep informed of relevant changes and updates.
Performs special demand audits as requested or noted in compliance or audit work plans program.
Educates providers one-on-one or in a group setting based on need or as a result of an audit.
Provides oversight and quality assessment of audit and other work of Medical Group Compliance Auditors as well as peers.
Maintains effective communication with department staff as well as key stakeholders and consistently demonstrates high standards of professional conduct and ethics as well as appropriate judgment independence and discretion.
Performs other duties as assigned.
Qualifications
Preferred: Any additional certifications such as Evaluation and Management Coder (CEMC) or Certified Professional Medical Auditor (CPMA).
Employment Type
Full-Time
