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Coding Auditor

Company: Piedmont Healthcare
Location: Atlanta
Posted on: November 23, 2021

Job Description:

Audit and monitor the coding and billing activities for the physicians employed by Piedmont Medical Care Corporation. Monitors and works toward accurate evaluation and management selection by minimizing denial issues so appropriate reimbursement for the services provided is attained. Works with the Management Team to educate physicians on coding and documentation compliance.KEY RESPONSIBILITIES:1. Develops a detailed audit plan for area being reviewed by maintaining a close working relationship with Coding Management and Leaders to meet established goals and responsibilities of maintaining consistent quality monitoring processes to validate coding and billing accuracy that minimize denials.2. Conducts the coding and billing compliance audit process within established timeframe and I accordance with the standards defined by Piedmont Medical Care Corporation.3. Prepares a report of findings for each audit and the action plan for implementation of recommendations for correction and/or improvement.4. Monitors the progress of developed action plans by developing and administering coding education program(s) that ensure providers and staff maintain coding and billing competencies and are current with coding requirements and regulations, ensuring that current coding manuals are provided for each practice office, and acting as coding and billing compliance resource for the employed physicians at Piedmont Medical Care Corporation.5. Utilizes available resources and continuing education programs to remain knowledgeable and current with coding and billing compliance regulations. Meets annual requirements to maintain CPC or CCS-P certification.6. Ability to interact with physicians and non-physician practitioners.KNOWLEDGE, SKILLS, ABILITIESSkill and ability to communicate effectively both verbally and in-writing.Skill and ability to handle multiple priorities and deadlines.Ability to work as a member of a team.Skill and ability in Microsoft Office applications.RequirementsMINIMUM EDUCATION REQUIRED:High School Diploma or equivalent.CCA, CCS, CCS-P, CPC, or CPC-H certification required.MINIMUM EXPERIENCE REQUIRED:Five (5) years healthcare experience, including three (3) years relevant experience with physician practice coding, documentation, billing, and/or reimbursement.MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:CCA, CCS, CCS-P, CPC, or CPC-H certification required.ADDITIONAL QUALIFICATIONS:Demonstrated customer service skills, including problem solving skills, and demonstrated communication skills, both written and verbal, to ensure message is received and understood by the customer.#LI-POST#GDIND000Diversity & InclusionAt Piedmont Healthcare we embrace diverse ideas, perspectives, and skills to create a collaborative workplace where the best talent wants to succeed. We celebrate differences and recognize that they allow us to care for our community.Excellence at WorkPiedmont is a certified Great Place to Work---- a national designation based on employee feedback about trust, workplace culture and experience. In 2019, Forbes named Piedmont one of Georgia's 10 best employers and the highest-ranked healthcare provider.

Keywords: Piedmont Healthcare, Atlanta , Coding Auditor, Accounting, Auditing , Atlanta, Georgia

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