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19Feb

Coding Compliance Auditor/Physician Educator

Southwest Health, Platteville, WI

Job Title

Coding Compliance Auditor/Physician Educator

Requirements

  • High school diploma, GED, or equivalent required.
  • Completion of a recognized course of study for health information practitioners or coding specialists.
  • Certification in CCS, CCS-P, RHIA, RHIT, CPC, or specialty coding.
  • Three years’ experience in clinic charge capture process review, medical record review, and claims auditing experience with clinic background, and in working with regulatory and policy compliance issues related to federal and state programs.
  • Three years’ experience in clinic working with electronic patient financial management and medical records information systems and manual processes outside of these electronic systems, with significant exposure to healthcare coding/billing/reimbursement.
  • Knowledge of managed care and third-party payer benefits designs and reimbursement requirements.

Work Hours

We are seeking a full-time Coding Compliance Auditor/Physician Educator to work Monday-Friday in our HIM department.

Job Summary

The Coding Compliance Auditor/Physician Educator is responsible for obtaining, interpreting, analyzing and communicating information regarding physician reimbursement legislation and third party regulations on an on-going basis, and focusing on potential opportunities and issues by specialty; training new providers and faculty staff, and providing continuing education in coding and billing of specialty services and third party regulations; reviewing medical records for regulatory compliance with the payers; reviewing remittance advice statements for rejection resolution and inappropriate charges and payments, and devising solutions; and providing information and training on regulatory inconsistencies; developing and/or revising divisional templates to ensure complete and accurate billing that reflect current demands of all regulatory bodies; assisting in accurate implementation and maintenance of the Electronic Medical Record system regarding coding and billing; assisting with establishing consistent coding and billing practices throughout Southwest Health, as needed or requested; providing local and national advocacy of coding and billing solutions through membership organizations, and participation in seminars/conferences.

We believe that together we can change lives, and we anticipate your life will change in the process. If you aspire to help others find hope and live better, we invite you to submit your application at www.southwesthealth.org.

Benefits

SH is truly an outstanding place to work. A full benefit package is available for employees working 20 hours/week or greater which includes: Health, Dental, Vision and Life insurance. Also available are long and short term disability, cell phone discount, flexible spending plan, paid time off, retirement plan with an employer contribution, fitness membership discount as well as use of exercise equipment at the facility.

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Job Details

Req Num --
ID 750381
Location
Platteville, WI
Positions 1
Type
Employee
Status
Full Time
Pay --
Categories
Health Care
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Retirement Plan
Paid Vacation
Paid Sick Leave
Paid Holidays
Tuition Reimbursement

Preferred Candidates

Years of Experience 2-5 Years
Education --

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