Audit and Coding Specialist (Healthcare)

Audit and Coding Specialist (Healthcare)

Join to apply for the Audit and Coding Specialist (Healthcare) role at Essen Health Care

Audit and Coding Specialist (Healthcare)

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Join to apply for the Audit and Coding Specialist (Healthcare) role at Essen Health Care

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At Essen Health Care, we care for that!

As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women's health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.

Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!

Position Title Audit and Coding Specialist

• Respond in a timely manner to Insurance audit requests.
• Review clinical documentation and coding to ensure appropriate CPT, ICD-10, and HCPCS codes are assigned.
• Identify and report compliance risks and recommend corrective actions to mitigate risk.
• Collaborate with customer service and billing staff to provide guidance, and feedback on patient disputes.
• Assist in the development, implementation, and enforcement of policies and procedures related to billing and coding compliance.
• Investigate and resolve coding or billing discrepancies.
• Prepare and maintain documentation of audit results, findings, and improvement plans.
• Support internal and external audits and respond to requests for documentation or clarification.
• Stay current on updates to coding regulations, payer policies, and compliance requirements.
• Participate in compliance committees and contribute to continuous improvement initiatives.

At Essen Health Care, we care for that!

As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women's health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.

Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!

Position Title Audit and Coding Specialist

Job Summary The Audit and Coding Specialist is responsible for ensuring that all billing and coding activities across the organization are accurate, compliant with applicable laws and regulations, and aligned with internal policies. Responsible for ensuring timely responses to Insurances regarding audit requests. This role works closely with billing staff, coders, healthcare providers, and compliance officers to identify risk, provide education, and ensure integrity in revenue cycle operations.

Education & Certification

Experience

Skills & Competencies

Working Conditions

Salary $64,000-$65,000

Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.

Seniority level

Seniority level

Mid-Senior level

Employment type

Employment type

Full-time

Job function

Job function

Accounting / Auditing and Finance

Industries

Hospitals and Health Care

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