Medical Record Coding Compliance Auditor & Educator

Job Summary

Perform ongoing chart audits of new and established provider medical records and billing documentation along timelines established by Billing Manager.

• Point person for any payer audit requests.
• Maintain current knowledge of coding and documentation requirements.
• Follow HIPPA and Medicare guidelines.
• Resource for ICD-10 training and education to physicians, coders, billers and office staff.
• Coordinates the dissemination and education of providers and staff on chart audit findings.
• Maintains current, accurate, retrievable records of audit finding and education using Intelicode software.
• Provides quarterly report to the AVP BHMG and providers.
• Maintains currency of coding and documentation manuals.
• Develops quarterly auditing monitoring compliance activities.
• Reviews 20 charts per provider accessing EMR software.
• Ability to audit 8 charts per hour.
• Benchmark findings to national average bell curve.
• Provides audit report to AVP and Billing Manager within 48 hours of chart review.
• Participates in departmental in-services by identifying topic for presentation, being responsible for presentation.
• Seeks out opportunities for learning and skill development independently.
• Backup of surgical coding and charge entry.
• Excellent oral and written communication skills. Detail orientated with ability to prioritize and function independently under general supervision.
• Excellent organizational skills with ability to follow written and verbal direction with multiple steps.

Qualifications

Educational / Minimum Requirements :

AS degree with three years health experience. BS Degree preferred.

Must successfully complete a coding certificate program.

Must be a Certified Professional Coder (CPC)

Additional auditing experience strongly preferred.

State / Federal Mandated Licensure or Certification Requirements :

Certified and experienced medical coding background is required.

CPC Required.

CPMA preferred.

Bristol Hospital Mandated Educational Requirements :

General orientation at time of hire. Fire / Safety / Infection Control annually. Other programs as mandated by Hospital.

Special Requirements :

None

Physical Requirements :

Must be able to sit, stand, stoop, bend for extended periods of time.

Work Environment :

Normal office conditions. Requires continued use of computer screen and data input requiring fine dexterity and movements.

Vision and hearing corrected to normal.

Cognitive Requirements :

Ability to comprehend and execute written and / or oral directions. Ability to work independently. Ability to make judgmental decisions.

Ability to follow through and complete tasks with minimal direction.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification.

They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

Our Benefits

Our employees play an important role in helping Bristol Hospital and Health Care Group deliver quality care every day in the community, and as such, we are committed to offering them a comprehensive, cost-effective benefits package that meets their needs.

We recognize the importance of total well-being. Not only do we want our patients to live their best lives, but we also want our employees and their families to have the resources they need to thrive.

When you work here, you can feel confident in knowing that you’re making a difference in a place that supports you personally and professionally.

Some of the benefit plans are provided at no cost to you, for others you pay some (or all) of the cost at attractive group rates through payroll deduction.

Bristol is pleased to offer employees access to these important elements through our benefits package :

Health & Wellness

• Medical
• Dental
• Vision
• Employee Assistance Program
• Flexible Spending Accounts

Wellness

Annual Biometric Screening & Health Assessment

Income Protection

• Life Insurance
• Short- and Long-Term Disability Coverage
• Contribution
• Voluntary Benefit Programs

Home

Auto

Pet Insurance

Cancer

Accident

Financial Plan

• 403b Retirement Plan with Discretionary Employer Core & Match
• 401k Retirement Plan

Time Off