JFK Johnson Rehabilitation Institute · 11 hours ago
CODING AUDITOR/EDUCATOR, PROFESSIONAL BILLING
Edison, NJ
Full-time
Onsite
Senior Level
$104K/yr - $104K/yr
5+ years expHackensack Meridian Health is dedicated to transforming healthcare and supporting its community. The Physician Billing Coding Auditor and Educator is responsible for auditing and educating healthcare providers on clinical documentation to ensure compliance with coding and billing regulations.
Hospital & Health Care
Responsibilities
Comply with established corporate and departmental policies, procedures, objectives, quality assurance methods, and safety codes. Demonstrate compliance with licensing, regulatory, and accrediting agency provisions as required
Perform coding quality audits of all records (outpatient, inpatient, procedures, diagnostic testing) to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of the education needs for the providers and staff
Create spreadsheets and summaries of audit findings
Assist providers, practices, internal/external coding team(s), revenue cycle analysts (RCA), and Training Teams with coding inquiries
Clarify complex discrepancies in documentation and coding; assure accuracy and timeliness of coding assignments to expedite the billing process and facilitate data retrieval for physician access and ongoing patient care
Perform follow-up complex coding of medical records per internal or external audits identified as Coding discrepancies
Meet or exceed productivity and quality standards and established department benchmarks
Maintain annual mandatory education requirements specific to the position as mandated by HMH
Keep abreast of coding guidelines and reimbursement reporting requirements, new technology, and procedures in accordance with the CMS and Office of Inspector General (OIG) regulations
Bring identified concerns to the department manager and Director for resolution
Participate in other special projects, duties and/or projects as assigned
Adhere to HMH Organizational competencies and standards of behavior
Qualification
Required
High School diploma, general equivalency diploma (GED), and/or GED equivalent programs
Minimum of 5 years of Physician Coding experience in a large multi-specialty group
Experience and thorough knowledge of ICD-10 and CPT coding
Knowledge of data reporting requirements and proficiency in computer skills
Extensive knowledge in data collection and physician coding reviews
Must have advanced coding education and training with a strong foundation in E/M Coding
Knowledge of Coding software and Google Suite: Sheets, Slides, and Docs
Excellent oral and written communication skills
Ability to work independently in a fast-paced environment
Ability to interact with management personnel and the provider community
Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Coding Specialist (CCS); or Certified Professional Coder (CPC) Certification
Certified Professional Medical Auditor (CPMA) at hire or must obtain within one (1) year of hire
Preferred
Associate's degree or higher
Minimum of 2 years of physician quality improvement auditing/education experience
Certified Risk Adjustment Coder (CRAC)
Benefits
Health
Dental
Vision
Paid leave
Tuition reimbursement
Retirement benefits
Company
JFK Johnson Rehabilitation Institute
Offering New Jersey’s most comprehensive rehabilitation services, JFK Johnson Rehabilitation Institute is a 94-bed facility located in Edison, NJ, serving residents of the tristate area for more than 40 years.
10001+ employees
Funding
Current Stage
Late StageCompany data provided by crunchbase