Audit and Coding Consultant
Job Location:
Phoenix, AZ - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
Primary City/State:
Deer Valley - 2500 W Utopia Rd Phoenix AZ 85027Category:
Health InformationShift:
DayDepartment:
CodingHybrid position. Hours M-F. Hours 8a-5p with ability to flex due to provider schedules for education sessions.
Great care starts with great people. (Like you.)
At HonorHealth youll find something special. From humble beginnings in 1927 to one of Arizonas largest nonprofit healthcare systems our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities:
- Ensure appropriate methodology to include financial controls identification of trends and unusual patterns reimbursement deficiencies and to improve processes. Confirm appropriate services are provided in accordance with examination protocol and medical billing. Work with vendor to ensure audit processes maintain appropriate controls providing feedback to both vendor and physicians regarding results. Identify unusual examiner patterns based on trends identifiable to the vendor/provider or coder. Identify deficiencies in the reimbursement process and opportunities for appropriate reimbursement. Provide a detailed report listing the findings and any adjustments required to the invoices for all inappropriately invoiced services. Make recommendation for improvements in processes or policies and create/execute provider education for individuals and/or group sessions. Maintain audit results and ensure provider movement throughout the compliance audit plan. Analyze and confirm external results and as appropriate which with senior leadership and compliance to create action plans.
- Research guidelines and regulations for proposed lines of business. Keep revenue cycle and physicians updated on new or changing regulations. Work with IT to ensure that codes are updated and build for new services include required data points.
- Performs other duties as assigned.
- Associates or 2 years work related experience Required
- Bachelors Preferred
- 3 years Revenue Cycle experience Required
- 3 years Professional Coding experience Required
- 5 years coding leadership experience or equivalent Preferred
- Certified Professional Coder (CPC) - Certification Required
- Professional Coding Auditor - Certification Preferred
Were all in for your career.
Required Experience:
Contract
About Company
HonorHealth is a nonprofit health system with 9 hospitals, and hundreds of primary, specialty and urgent care clinics in the Phoenix metro area. Learn more at
