Coding Compliance Auditor
On SiteCoding Compliance Auditor – Fall River, MA – Under the direction of the Executive Director, Corporate Compliance and Internal Audit or designee, oversee a comprehensive program of hospital and professional billing compliance and compliance related auditing and education within the Health System. Oversight for the development, implementation and continuous process improvement of a comprehensive revenue cycle compliance audit and education plan. Oversee education efforts across the system on revenue compliance requirements, documentation enhancements, and Medicare/Medicaid billing regulations. Serve as a role model for ethical conduct.
Education and/or Experience: A Bachelor’s Degree in an appropriate field or equivalent combination of related knowledge and experience required. CPC, RHIA, or CSC credentials required. Duties require extensive knowledge of ICD-10 and CPT codes, and DRG;s and federal and state regulations pertinent to a Health System. Hierarchical Condition Category Coding is a plus. Computer skills required Word, Excel, PowerPoint and Outlook. Five years of auditing/coding experience, required. The culture, the leadership, the quality of life, the atmosphere and the commitment to the community is why this is a fantastic career move. A must see! Please contact: Michelleb@advmr.net
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