Medical Coding Trainer / Auditor
Job Posting for Medical Coding Trainer / Auditor at CRH Healthcare, LLC
Medical Coding Trainer / Auditor
CRH Healthcare, headquartered in Atlanta, GA, is a patient-focused operator of urgent care centers in Alabama, Georgia, Florida and Maryland. CRH’s centers are open seven days a week and provide walk-in care for injury, illness, and minor emergencies as well as family care to keep both parents and kids healthy.
The Medical Coding Trainer/Auditor leads the internal medical chart coding auditing and monitoring program, which includes monitoring coding practices and documentation deficiencies to generate topics for education, process changes, and reduce risk. This role will report findings both verbally and in writing/presentations and communicate results to affected personnel and departments. This position reports to the Director of Compliance.
Vinings, GA - Hybrid
Primary Responsibilities
- Evaluates medical records to determine the accuracy of coding, billing, and documentation to ensure compliance with CMS regulations, professional standards, organizational policies and procedures, and other federal and state laws and regulations
- Assists with maintaining preparedness for external coding and billing audits and in the assessment of external audit findings
- Collaborates with the Director of Compliance and Vice President of Billing Operations to develop and document a formal, robust coding auditing and monitoring program
- Provides support to leadership and providers in determining accurate coding, documentation, and billing practices.
- Communicates timely with the Director of Compliance and the Compliance Committee regarding trends and deficiencies found through auditing and monitoring activities
- Prepares written reports of findings to appropriate leaders, including the Compliance Committee
- Leads meetings with providers to review audit findings and provide guidance when applicable
- Partners with the Vice President of Billing Operations to develop and disseminate coding and documentation training, including coding and billing changes/updates and deficiencies identified through the auditing and monitoring program
- Stays up-to-date on changes and updates to the Current Procedural Terminology (CPT) and diagnosis codes
- Participates in special coding compliance projects as needed
- And all other tasks as assigned
Key Requirements
- High School Diploma or GED required
- Certified Professional Coder (CPC) required
- Certified Professional Medical Auditor (CPMA) required
- Advanced knowledge of CPT, ICD-10-CM, and HCPCS coding systems
- 2-3 years of auditing or coding compliance experience
- Possesses a strong understanding and knowledge of CMS regulations, documentation guidelines, and other federal and state laws and regulations concerning clinical documentation and coding.
- Proficient in Microsoft Office suite including proficiency with Excel
- Ability to effectively communicate verbally and in writing
CRH Healthcare provides a professional work environment, a strong clinical support organization and a competitive compensation and benefits package.
CRH Healthcare an equal opportunity employer: M/F/D/V
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