Auditor, Coding

Saint Francis Health System Tulsa, OK
billing education compliance insurance develops clinic staff management management patients regulatory medical high school cpc
October 29, 2022
Saint Francis Health System
Tulsa, OK
FULL_TIME
Job Summary: Performs coding audits to assure compliance with Corporate Compliance Plan standards. Develops, coordinates and implements clinic wide education for coding and billing issues. Serves as a resource to physicians, office staff, management and patients for coding and billing issues. Coordinates successful response to regulatory bodies and insurance companies for medical record reviews and audits.



Education: High School Diploma or GED. Education commensurate with coding certification.



Licensure, Registration and/or Certification: CPC (Certified Professional Coder) or recognized Coding Certification.



Work Experience: 3 - 4 years related experience.



Knowledge, Skills and Abilities: Computer skills including use of IDX, Ulticare, EncoderPro and web sites of Federal and Private insurance plans. Demonstrated ability to audit CPT and ICD9 coding related to charting and billing utilizing knowledge obtained by coursework with subsequent certification and/or sufficient specialized, related experience to demonstrate advanced knowledge of coding to perform audits. Effective interpersonal, oral and written communication skills. Ability to organize and prioritize work in an efficient and effective manner to achieve goals. Uses good judgment in determining documentation sufficiency and how to best educate physicians and other providers of opportunities for improvement. Demonstrated understanding of complexities of office work flow and billing requirements. Ability to be an engaged member of Quality Team and to provide value added service to all. Demonstrates flexibility in accomplishing challenging assignments.

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