Coding & Compliance Auditor
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The Coding & Compliance Analyst will ensure coding and billing compliance through ongoing audits and education of physicians, staff, and clinic sites. Under general supervision, using a combination of regulatory, coding, documentation and billing knowledge, the Coding & Compliance Analyst will complete scheduled audits of assigned providers at designated intervals. Manages coding and billing audits to ensure accuracy and compliance to maximize revenue collection and educate providers and coding staff. Develops strategic solutions and provides administrative direction in the areas of coding and clinical documentation improvement. Completes internal coding reviews, audits, risk assessments and education (as applicable) for physicians and staff. The auditor will also monitor and aid in improving the quality of documentation related to the requirements to bill for services provided. The Coding & Compliance Analyst will compare clinical and financial records to ensure that the documentation provided supports the patient charges listed. The Coding & Compliance Analyst must be able to work collaboratively to help ensure the firm’s clients maintain accurate and appropriate coding and billing. The ideal candidate will have extensive experience in healthcare coding and compliance, preferably in both a hospital and healthcare company setting.