Posted in Other about 2 hours ago.
Location: Atlanta, Georgia
Compensation: $25.10/hourly
The Auditing & Coding Analyst is responsible for auditing and monitoring claims activity, assures complete and accurate billing and documentation, assist with internal auditing and compliance, and the coordination of the improvement of clinical documentation.
This is a Full-time, benefit eligible, remote position open to Missouri residents.
ESSENTIAL FUNCTIONS - JOB SPECIFIC
* Performs daily review of encounters to verify charges and supporting documentation to ensure compliance with CPT and ICD-10 rules and regulation
* Completes claim coding corrections within a timely manner and tasks provider as needed
* Utilizes audit tools to track errors and report trends to supervisor
* Participates in joint projects with other internal audit staff
* Provides ongoing education to staff on various documentation or charge entry concerns as directed
* Participates in the rejections and claims review process with patient accounting to ensure compliance and accurate reimbursement as needed
* Tracks trends, monitors, identifies, and reports documentation issues and compliance concerns
* Maintains current knowledge of and educates staff on E/M CPT code descriptors, diagnosis specificity and standards for documentation
* Performs random chart audits as assigned and conducts follow-up clinical documentation improvement and coding education
* Demonstrates good organizational skills and communicates effectively, both orally and in writing.
* Demonstrates knowledge of all EHR systems that the organization uses
* Other duties as assigned
Highs School/GED required
QUALIFICATION(S): WORK EXPERIENCE/TRAINING/ADDITIONAL REQUIREMENTS
* At least two (2) years' experience working knowledge of coding and billing functions including Medicare, Medicaid and commercial insurance in a healthcare environment
* Experience in EHR, ICD, DSM V, and Excel preferred
* Current knowledge of ICD-10-CM and CPT coding classification systems
QUALIFICATION(S): LICENSURE/CERTIFICATION
Certified Professional Coder (CPC)
Compass Health Network is a nonprofit health care organization offering accessible, comprehensive, & compassionate behavioral health, substance use treatment, family medicine and dental services throughout Missouri. Our network of care includes Royal Oaks Hospital and Adapt of Missouri. We are both a Federally Qualified Health Center (FQHC) and a Community Mental Health Center (CMHC). Operating only from the highest ethical and professional standards, we provide access to innovative care designed to meet the health needs of the communities we serve. Our mission is "Inspire Hope. Promote Wellness."
Why join us?
We believe some of the most passionate people in the world work here. Our dedicated and talented staff are our most valuable asset. We strive to provide a work environment and services that are inclusive for our patients and our employees.
At Compass Health Network, these are just a few of the benefits that we offer as an organization:
We welcome inquiries from qualified individuals who want to be part of a team of hardworking, dedicated and compassionate employees whose work helps us aspire to our vision of full, healthy, productive lives for everyone. We look forward to meeting you!
Compass Health is an Equal Opportunity/Affirmative Action Employer and an E-Verify participant.
