Compliance Specialist Administration
Listed on 2026-01-04
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Healthcare
Healthcare Administration, Medical Records
Compliance Specialist I (2815) - Administration
Join to apply for the Compliance Specialist I (2815) - Administration role at Tidewater Physicians Multispecialty Group
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Tidewater Physicians Multispecialty Group is actively seeking a Compliance Specialist to work out of our Administration office in Newport News. The schedule is full-time work hours, Monday through Friday.
Position SummaryA Compliance Specialist I audits medical record documentation to identify under coded and up coded services; prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues. Interacts with providers and management to review and/or implement codes and to update charge documents. Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services.
MajorDuties And Responsibilities
- Responsible for auditing medical records documentation.
- Responsible for running reports needed to research and analyze data.
- Access records from Electronic Health Records (EHR) system.
- Ensure coding is in compliance with current Medicare guidelines with Current Procedural Terminology (CPT) and diagnosis codes.
- Ensure the integrity and accuracy of the documentation in the clinical record, public speaking, report findings and one-on-one communication with physicians, clinical and office staff.
- Other duties as assigned.
Skills And Abilities
- Knowledge of ICD-10 coding.
- Knowledge of computer systems (e.g., Excel, Word and PowerPoint).
- Ability to work scheduled hours as defined in the job offer.
- Ability to read and understand oral and written instructions and follow written protocols.
- Ability to examine documents for accuracy and completeness.
- Ability to use office equipment (e.g., calculator, copier, fax, etc.).
- Ability to provide excellent customer service.
- Skill in presenting information in an organized manner.
- Skill in verbal and written communication.
- Associate's Degree or equivalent.
- Up to 5 years related experience.
- CPC, COC, or RHIT certification.
Come join the team!
TPMG is an equal opportunity employer committed to a diverse and inclusive workforce.
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