Compliance Auditor​/Educator - RSO - Remote

Why consider this job opportunity

• Competitive salary based on experience
• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment focused on continuous improvement
• Chance to make a positive impact on coding compliance and education for healthcare providers
• Develop and present effective training materials and educational sessions
• Work closely with a dedicated Compliance Team to ensure adherence to healthcare regulations

• Develop and lead audit projects for medical record integrity and service line-related audits
• Conduct one-on-one meetings with Providers for corrective educational guidance and develop action plans
• Research and develop comprehensive written processes and guidelines for correct coding
• Monitor audit trends to identify errors in coding and documentation and recommend improvement strategies
• Provide training for staff and Providers on CPT, ICD 10, and HCC coding standards

• Bachelor’s Degree or equivalent combination of education and experience
• Certified Professional Coder or RHIT required;
  Certified Auditor or HIM designation preferred
• Minimum of 2 years of experience in coding, reimbursement analysis, and medical record auditing
• Strong knowledge of federal, state, and insurance company regulations affecting compliance in healthcare
• Proficiency in operating standard desktop and Windows-based computer systems, including Microsoft Office

• Previous experience with primary care and multi-specialty care
• Experience in health care operations or process improvement work with a health care insurance organization
• Strong customer service and problem-solving abilities
• Ability to create and present effective group educational sessions
• Experience in developing educational materials tailored to specific coding and compliance needs

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