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JOB DESCRIPTION -Responsible for conducting audits according to the Internal Audit Program standards and specifications -Prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues Ensures review findings are clear and accurate; responsible for reporting audit trends as an opportunity for education, training, and corrective actions -Interacts with physicians, APPs, coders, and other appropriate staff regarding billing an documentation policies, procedures, and regulations Conducts audit presentations and on-demand trainings of providers (future) -Stays current with AHA Official Coding and Reporting Guidelines, CMS, and other agency directives for ICD-10-CM and CPT coding -Completes online education courses and attends mandatory coding workshops and/or seminars (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding -Reviews AHA and CPT quarterly coding update publications -Attends all internal conference calls for Quarterly Coding Updates MINIMUM REQUIREMENTS CPMA & CPC -1+ years' experience of provider coding audits -E&M (evaluation and management) and procedure coding background -Associate's degree or equivalent work experience DESIRED SKILLS -eClinical Works experience -GI experience -Ancillary coding experience (pathology, anesthesia, surgery, etc.) Recommended Skills Anesthesias Auditing Billing Content Management Icd 10 Medical Classification Pathology