Inpatient Coding Compliance Specialist
Job Summary
To support compliance initiatives within the Patient Revenue Management Organization, the full-time remote Inpatient Coding Compliance Specialist will implement and maintain compliance programs, educate providers on regulations, and conduct internal audits to reduce legal and financial risks.
Key responsibilities
- Educate providers on compliance with government regulations, particularly Medicare and Medicaid guidelines
- Conduct routine internal audits of provider documentation and implement corrective actions as necessary
- Collaborate with physicians and staff to enhance documentation, coding, and compliance capabilities
Required qualifications
- Bachelor's degree required
- Four years of administrative experience in compliance, coding, and auditing related to insurance billing
- Two years of experience with DRGs and APR-DRGs for technical coding
- RHIA, RHIT, or CCS certification required; CPC or CPMA preferred
- Experience in formal teaching of coding is preferred
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