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Shirley Ryan AbilityLab logo
Shirley Ryan AbilityLab

Shirley Ryan AbilityLab of Chicago, Illinois, has been a recognized leader in physical and cognitive rehabilitation since 1953. The specialty hospital, formerly

Coding Compliance Auditor – Physician Practice

Location

United States

Posted

82 days ago

Salary

$47.3K - $78.7K / year

Seniority

Mid Level

Professional Certificate2 yrs expEnglish

Job Description

Coding Compliance Auditor – Physician Practice

Shirley Ryan AbilityLab

• Perform audits to assess the quality of documentation, accuracy of charge code assignment and review financial billing statements. • Assist the compliance officer in assigned projects from internal or external sources. • Perform assigned Medicaid, Medicare, and other third party payer audits. • Answer any physician and/or clinic questions and concerns regarding current ICD-10 and CPT guidelines. • Assist in coding outpatient records as needed. • Provide coding training and updates for coding staff, physicians and clinics as assigned. • Assist in coordination of the compilation of data relative to regulatory agencies and the accreditation process. • Review charge master updates and additions for appropriate current ICD-10 and CPT code assignment. • Perform all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.

Job Requirements

  • Coding Certification through AHIMA or AAPC for Inpatient or Outpatient coding. (i.e., RHIA, RHIT, CCS, or CCS-P certification) and maintains continuing education requirements.
  • Minimum 2 Years of ICD-10 and CPT coding experience and clinical knowledge.
  • Knowledge of regulatory, billing, and other coding guidelines.
  • Thorough knowledge of related prospective payment systems.
  • Auditing skills for coding quality and compliance.
  • Advanced computer skills, PC-experience with Windows based applications.
  • Interpersonal skills necessary to effectively communicate with other departments, physicians, outside agencies, and key customers.
  • Good writing skills to create reports and ability to graphically present audit data.

Benefits

  • Shirley Ryan AbilityLab offers a comprehensive benefits program that is competitive with our industry peers in our geographic locations.

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