Coding & Compliance Auditor

American Oncology NetworkUrbana, IL
1d$21 - $37Remote

About The Position

Responsible for performing E/M audits, summarizing the results, communicating the outcomes to all parties and completing any follow up or educational needs as required. Responsible for the review and completion of email requests in a timely manner as well as reviewing and completing ticket requests. Assigned list review and update in a timely and accurate manner. Contributes to the completion of government audits when requested.

Requirements

  • 2 + years coding experience with E/M experience in a medical office preferred
  • CPC and/or CCS (Other AHIMA and/or AAPC certifications could be considered)
  • Analysis & Critical Thinking: Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills. Must be detailed oriented with the ability to exercise independent judgment.
  • Interpersonal Effectiveness: Developed interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness. Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters.
  • Communication Skills: Good command of the English language. Second language is an asset but not required. Effective communication skills (oral, written, presentation) is an active listener, and effectively provides balanced feedback.
  • Customer Service & Organizational Awareness: Strong customer focus. Ability to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations.
  • Self-Management: Effectively manages own time, conflicting priorities, self, stress, and professional development. Self-motivated and self-starter with ability to work independently with limited supervision. Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites.
  • Computer Skills: Proficiency in MS Office Word, Excel, Power Point, and Outlook required

Responsibilities

  • Provide coding support for physicians.
  • Provide coding support for Claims Resolution Specialists.
  • Meet with Manager to discuss coding trends and report any coding issues.
  • Attend seminars and training sessions and report any changes or concerns to Manager/Compliance Officer.
  • Maintain and ensure the confidentiality of all patient and employee information at all times.
  • Assist in training new employees to related job duties.
  • Will be expected to work overtime when given sufficient notice of required overtime.
  • Comply with all Federal and State laws and regulations pertaining to patient care, patients’ rights, safety, billing, and collections.
  • Adhere to all Company and departmental policies and procedures, including IT policies and procedures and Disaster Recovery Plan.
  • Maintain all company equipment in safe and working order.
  • Complete E/M audits accurately in a timely manner as assigned to the Auditor Queue.
  • Audit Request (Compliance and other departments)
  • Contribute to the review and completion of tickets, emails and/or lists as assigned in a timely and accurate manner.
  • Contribute to the updating of Training Manuals, PowerPoints and SOP’s as well as work with peers while they are learning all the required duties of Coding Audits.
  • Provide Physician and extender training as needed.
  • Proficient in the use of the required programs to accomplish assigned work task and follow up as needed. This includes but not limited to Excel, word, Outlook, and SharePoint.
  • Contribute to Government Audit Request as needed.
  • Performs other duties and projects as assigned.

Benefits

  • We offer competitive compensation packages that include comprehensive health insurance with a robust provider network.
  • Our 401k, which offers a 100% match and investment options, is available to full-time and part-time staff members, and we feature a generous Paid Time Off (PTO) program.
  • As a network of independent oncology practices working together as one, we host annual summits each year, providing our employees a chance to collaborate with AON peers from across the country.
  • Promoting from within is a priority at AON, and we support our team members continued growth through professional development programs and tuition assistance.
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