Compliance Analyst
Atlanta, GA, United States
Overview:
Ability to analyze medical record notes to ensure correct coding, billing compliance and complete charge capture.
Ability to research regulatory requirements.
Ability to clearly communicate findings with physicians.
This position reviews professional (physician) charges
Minimum Qualifications:
A high school diploma or equivalent.
Five years of experience in CPT and ICD-10 CM coding.
Certified as a coding specialist (CCS), coding specialist physician (CCSP), procedural coder - hospital (CPC-H), or certified professional coder (CPC).
Multi-specialty practice and/or hospital experience preferred.
Work Location:
This is a Remote opportunity
Description:
Conducts reviews of professional or hospital charges to ensure chart documentation supports billed codes by applying appropriate CPT and ICD-10 CM coding and governmental guidelines.
Formulates recommendations based upon the findings and communicating them to the appropriate personnel.
Conducts training sessions with physicians and staff as appropriate
Additional Details:
PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.
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