Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive salary and benefits package
- Supportive and collaborative work environment
- Chance to make a positive impact on compliance and quality of care
- Engage in meaningful work through auditing and training providers

What to Expect (Job Responsibilities):
- Conduct audits of chart documentation and professional billing for compliance with coding and regulatory requirements
- Analyze audit findings and summarize results for the central database
- Participate in audit conferences with representatives from the employer
- Identify training needs and conduct remedial training with providers and billing staff
- Assist in the development of policies and procedures for billing compliance

What is Required (Qualifications):
- Minimum of 2 years of experience in medical billing
- At least 4 years of medical coding experience for multi-specialty providers
- 3 years of experience with Medicare, Medicaid, and Tricare payment rules
- 3 years of medical record chart auditing experience for professional billing
- High School Diploma or GED required; Associates degree preferred

How to Stand Out (Preferred Qualifications):
- Experience with medical management information systems, such as EPIC
- Familiarity with auditing software applications (e.g., MDaudit, Compliance Risk Analyzer)
- Certification as a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) at the time of hire
- Certification as a Certified Professional Medical Auditor (CPMA) within 6 months of hire

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