Coding Compliance Educator/Analyst - (US-WA-Seattle - 98199)

Minimum Education: Bachelors
Job Type: Full Time
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Relocation Yes (strongly prefer local)



Location Seattle


Coding Compliance Educator/Analyst


JOB SUMMARY: Responsible for achieving and maintaining provider coding
accuracy and completeness at the levels required by the yearly Corporate
Compliance Work Plan. Works directly and intensively with new providers to
educate and monitor their compliance to coding and reimbursement standards
and to develop work plans for them to meet requirements. Participates in
discussions and decisions regarding individual provider's appropriateness to
be on a regular audit cycle vs. a focused review, and any corrective action
that may be indicated. Provides feedback to the Compliance Manager and
Officer and Chief Medical Officer on risks associated with the compliance of
individual providers. Serves in a training capacity with providers and
coding staff. Responsible for remaining current on coding and compliance law
and guidelines. Serves in a consultant capacity to the Compliance Manager
and Compliance Officer regarding potential areas of improvement for the
company in meeting the Compliance Plan, and to the CMO on potential
improvements in recruiting, coding and auditing of E&M services, and
procedures.

REQUIREMENTS:
. Bachelor's degree or equivalent experience in health care related field.
. Hold and maintain coding certification.
. Five years health care experience in a physician group practice or other
ambulatory care setting.
. 5+ years of coding experience for a multi-specialty group and a score of
at least 90% on PMC's Coding Competency Test required.
. 2 years of experience conducting provider education and audits.
. Auditing certification, or obtained within 6 (six) months of hire.
. Demonstrated expertise in current multi-specialty CPT, ICD-9, and HCPC
coding principals and practices.
. Proven ability to interact with physicians and support staff.
. Strong communication skills, both written and verbal.
. Ability to communicate effectively in written and spoken English.
. Strong presentation abilities.
. Thorough knowledge of Medicare/Medicaid and third party coding
requirements.
. Flexible and willing to adapt to changing working conditions.
. Ability to work in a culturally diverse environment.


MUST HAVE (FIRM)

1. Bachelor's degree or equivalent experience in health care related field.
2. Current Coding certification.
3. Current Auditing certification or obtain within 6 months of hire.
4. 5+ years of coding experience for a multi-specialty group and a score of
at least 90% on Coding Competency Test required.
5. 2 years of experience conducting provider education and audits.
6. Demonstrated expertise in current multi-specialty CPT, ICD-9, and HCPC
coding principals and practices.