Director of Auditing and Compliance Accelecare Wound Centers
THIS JOB HAS EXPIRED Category: Administration
Primary function. Compliance auditor needed for 40+ wound care providers in multiple states, ensuring correct coding and billing by providing training and education and ongoing documentation review. Perform audits per the compliance plan, new provider orientation, and follow up records analysis. Assist Medical Director and Directors of Education with compliance training and education, and shadow providers as they do their rounds. Create ongoing educational presentations and workshops to ensure compliance and correct codingand billing. Excellent communication and presentation skills needed as this role will require presentations to new physicians at training events.
Responsible for the review, analysis and coding of diagnostic and procedural information for Accelecare Wound Professionals (physician group) medical records that determines Medicare, Medicaid and private insurance payments. Performs ICD-9-CM, CPT and HCPCS coding for optimum and accurate reimbursement, observing and ensuring compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
Education. College Degree or Equivalent experience with CCS-P or CPC certification required.
Experience. Two years physician coding experience using ICD-9-CM, CPT and CCI publications.
Other knowledge/ Skills.
-Excellent oral and written communication skills including ability to present at training events.
-Highly organized and able to work with deadlines constrains.
-Excel/ Word skills.
-Understanding of Healthcare Compliance Issues.
-Advanced knowledge of medical terminology, abbreviations, techniques and surgical procedures anatomy and physiology.
-Advance knowledge of medical codes involving selection of most accurate and description codes using ICD-9-CM, CPT, HCPCS and CCI publications.
-Skill in correlating generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct ICD-9-CM code.
-Advanced knowledge of medical codes involving selection of most accurate and descriptive code using the CPT codes for billing of third party resources.
-Advance knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
Consultant: Chris King
||Bellevue, WA |
THIS JOB HAS EXPIRED