Job Closed
This listing is no longer active.
A health management technology company, Privia Health is a national practice led by physicians. The company was founded in 2007 to provide physician groups with resources dedicated
Sr. Coding Compliance Educator
Location
United States
Posted
110 days ago
Salary
$70K - $82.5K / year
Seniority
Senior
No structured requirement data.
Job Description
Sr. Coding Compliance Educator
Privia Health
Company Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Job Description The Senior Coding Compliance Educator is a subject matter expert responsible for the development and delivery of comprehensive coding education and providing advanced consultation to Privia Providers and staff. Successful candidate will have extensive expertise in CPT, ICD-10-CM, and HCPCS coding and demonstrate a proven track record in delivering high-impact training to diverse provider groups. This role is pivotal in enhancing our provider education programs and improving coding accuracy and compliance across our rapidly growing organization. - Lead advanced coding education for both individual providers and large provider groups, utilizing remote methods. Topics include but are not limited to Evaluation & Management (E/M), Medicare Preventive services, and Office Procedures) - Design, implement, and lead specialty-specific documentation and coding training programs to address unique needs and challenges. - Analyze key coding performance indicators to determine those providers in need of initial or additional E/M training. - Strategically schedule and coordinate training sessions with provider offices, individual providers, and groups, ensuring alignment with organizational priorities and provider needs. - Lead initiatives to identify and address relevant documentation and coding projects, contributing to the ongoing enhancement of training resources and tools. - Develop and refine coding presentations and educational materials, ensuring they reflect the latest industry standards and regulatory requirements. - Proactively identify and prioritize training needs, scheduling sessions to address gaps and improve overall provider performance. - Monitor and address market trends and emerging issues related to documentation and coding, ensuring timely and relevant updates to training programs. - Resolve coding compliance inquiries, ensuring all responses are researched, documented, and delivered within established service level agreements (SLAs). - Perform additional related duties as assigned, contributing to the overall success and growth of the Coding Compliance Education team. Qualifications - Certification as a Professional Coder (CPC) - A minimum of 7 years of experience in coding CPT, ICD-10, and HCPCS, with a strong background in developing and leading provider training sessions. - In-depth knowledge of AMA CPT and CMS ICD-10 coding and reporting guidelines. - Extensive understanding of documentation and coding guidelines set forth by CMS and AMA for diagnostic and procedural code assignment. - Proficient in Google Office Suite, Electronic Medical Records, Monday, Codify, and other relevant software applications. - Experience with Customer Relationship Management (CRM) tools such as Salesforce - Experience navigating EHRs - Demonstrated ability to maintain confidentiality and comply with HIPAA regulations. - Proven ability to engage in honest and challenging conversations with providers regarding documentation and code assignment. - Exceptional communication skills, with the ability to convey complex information clearly and effectively to diverse audiences. - Composed and resilient in high-pressure situations, demonstrating maturity and professionalism. - Strong time management and organizational skills, with a capacity to manage multiple priorities efficiently. - Excellent presentation skills, with experience leading training sessions for large groups of physicians and executives. - Ability to build and maintain effective relationships with physicians, non-physician practitioners (NPP), practice staff, and external parties. - Positive attitude towards work, clients, management, and team members, with a customer-focused approach to conflict resolution and problem-solving. The salary range for this role is $70,000.00 to $82,500.00 in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 15%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Additional Information All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law. - Department: Audit & Coding
Related Guides
Related Categories
Related Job Pages
More Compliance Jobs
Compliance Assurance and Training Specialist
California Institute of Applied TechnologyThe California Institute of Applied Technology (CIAT) is a technical college located in National City, California, offering an array of IT degrees and certifica
Description Work from Home (WFH) - Remote work must be performed while residing in either California or New Mexico CIAT Location: San Diego, CA and Albuquerque, NM Reports to: VP of Compliance Status: Non-Exempt Employment Type: Full-time Summary The Compliance Assurance and Training Specialist is responsible for conducting internal compliance audits, ensuring adherence to federal, state, and institutional regulations, and providing staff training on compliance policies and procedures. This role involves monitoring and evaluating compliance risks, implementing corrective actions, and fostering a culture of compliance throughout CIAT. The Specialist will work closely with various departments to ensure all educational programs and operations align with regulatory requirements, including those set by accrediting bodies. Core Responsibilities: Compliance Audits: - Conduct regular internal compliance audits to assess adherence to federal, state, and accreditation standards - Identify potential compliance risks and areas for improvement and develop corrective action plans - Maintain and update compliance documentation and audit records Staff Training and Development: - Design, develop, and deliver training programs on compliance topics, including regulatory requirements, data privacy, and ethical conduct - Create training materials, presentations, and resources to enhance staff understanding of compliance policies and procedures - Evaluate the effectiveness of training programs and make necessary adjustments to improve learning outcomes - Follow communication guidelines to ensure high levels of customer satisfaction and professionalism Policy Implementation and Monitoring: - Assist in the development, implementation, and communication of compliance policies and procedures - Monitor changes in regulations that affect the institution and ensure policies are updated accordingly - Provide guidance and support to staff on compliance-related inquiries and issues - Work closely with department heads, faculty, and staff to ensure a thorough understanding of compliance requirements - Adhere to CIAT’s compliance requirements to ensure all Federal, State, accreditation, and institutional policies and procedures are being met - Embody CIAT’s mission, vision and values Reporting and Documentation: - Prepare detailed reports on audit findings, compliance issues, and training outcomes - Track compliance metrics and report on the institution’s compliance status to VP of Compliance - Maintain up-to-date knowledge of relevant regulations and best practices in compliance and education - Support accreditation processes and external audits by providing necessary documentation and evidence of compliance Requirements - Bachelor’s degree in Business Administration, Education, Law, or a related field; a Master’s degree or professional certification (e.g., CCEP, CRCM) is preferred - Minimum of 3-5 years of experience in compliance, auditing and training, preferably in an educational or IT environment - Strong knowledge of federal and state education regulations, accreditation standards, and compliance best practices - Excellent presentation skills with the ability to effectively train and educate staff at all levels - Strong communication skills, both verbal and written, with the ability to effectively convey information and interact with students, colleagues, and other - Strong analytical skills and attention to detail with the ability to identify compliance risks and implement solutions. - Proficient skills in MS Office software products, including Outlook, Word, Excel, PowerPoint, and MS Project and ability to learn additional software products - Microsoft Excel power user - Demonstrated ability to deliver engaging and effective training - Takes a customer-service oriented approach to collaborating with internal departments - Self-motivated, goal oriented, assertive, and results driven - Team player with a positive, can-do attitude - Strong commitment to providing superior service to students and staff - Strong organizational skills and the ability to manage multiple and rapidly changing priorities to meet the needs and expectations of this position - Self-motivated with a strong work ethic; dedicated to quality, quantity, results and timeliness - Ability to work collaboratively with colleagues, academic departments, and administration to support student success, achieve institutional goals and contribute to a positive and inclusive culture - Able to handle sensitive information with a high degree of confidentiality - Possess high ethical standards, being an example of professionalism to others - Demonstrated ability to anticipate needs and exercise independent judgment - Excellent analytical skills, problem-resolution skills, and general business acumen - Exhibits a high degree of flexibility in adapting to a rapidly changing environment - Position may require work responsibilities outside of normal business hours to accommodate business needs and deadlines - Flexible to work longer hours to meet deadlines, if needed - Must be able to embody CIAT’s mission, vision and values Position Type and Expected Hours of Work This is a full-time position. Days and hours of work are Monday through Friday. Occasional weekend and evening hours may be required. Supervisory Responsibility This position does not require any supervisory responsibilities. Location This is a remote position. Work must be conducted in locations that have been approved by the company. Company authorization is necessary for relocation or work from other locations, even if temporarily. Values Values such as integrity, excellence, customer service, teamwork and mutual respect are some of those that remain constant, regardless of changes in our company. When identifying company values, it is important that those values are being demonstrated in the course of business each day. Our values set expectations for how employees and managers interact with every person while representing the company. - We are passionate about education and student success. - We value integrity and excellence in our employees and students. - We treat ourselves and our students with dignity and respect. - We believe in and encourage innovation at our school to better help our students succeed. - We have a customer centric focus and we want people highly committed to achieving goals, where our success equals student’s success. - We are accountable for our actions and focus on improvements moving forward. - We have a growth mindset with a sincere belief that every student can do better and achieve their goals. - We expect every employee to be an example of conduct and professionalism, being a role model to students and colleagues. - We commit to fostering an inclusive and supportive learning environment that respects the diversity of students' backgrounds, experiences, and perspectives. - We foster lifelong learning and professional development. Physical Demands These physical demands are representative of the physical requirements necessary for an employee to successfully perform the essential functions of the job. Reasonable accommodation can be made to enable people with disabilities to perform the described essential functions. - Ability to type, use a computer to search for information, and input information while speaking on the phone is required - Requires daily use of a company computer and related software applications at a workstation - Requires completion of some tasks that require reaching, grasping, and making repetitive hand movements in the performance of daily duties - Requires prolonged sitting and or standing at a workstation for at least 8 hours per day - Requires dependability and excellent attendance records - May require travel to conduct CIAT business, as needed - The employee will be required to compute mathematical calculations as a normal part of this role Work Environment While performing the responsibilities of this remote position, the job holder will work in a home office environment. Reasonable accommodation may be made to enable people with disabilities to perform the essential functions of the job. This role routinely involves using standard office equipment such as computers, phones, and virtual communication tools. Employees are expected to ensure that their home office is a safe and ergonomic working environment. Employees must maintain data security and confidentiality in accordance with company policies and use secure connections for all work-related activities. Expectations regarding work hours, availability, and time tracking will be clearly communicated and must be adhered to. The company is not responsible for maintaining home office environments beyond the provision of reasonable accommodation and necessary work-related equipment. Workers' compensation and liability for injuries that occur in the home office will be covered as per company policy and applicable laws. This remote work policy is designed to comply with all relevant local, state, and federal laws. When in the office: When in the office, employees are expected to follow all workplace safety rules, security protocols, and professional conduct guidelines. They should maintain a clean and organized work area, be punctual, and actively engage in in-person meetings, collaboration, and training as scheduled. The in-office environment may involve occasional noise, shared workspaces, and use of common areas, and employees are expected to be respectful of others working nearby. AAP/EEO Statement California Institute of Applied Technology provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, the California Institute of Applied Technology complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. California Institute of Applied Technology expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of California Institute of Applied Technology’s employees to perform their job duties may result in discipline up to and including discharge. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time, with or without notice. Salary Range The starting salary range for the Compliance Assurance and Training Specialist is $30.00 - $32.00 hourly/DOE. We base salary offers on a variety of considerations, such as education, experience, equity and other business and organizational needs. #ZR
Compliance Coordinator
CTIA comprehensive provider for all of your AV, IT, Communication and Live Event needs.
• Support the development and implementation of compliance policies, reporting, and practices • Monitor activities impacted by regulatory requirements • Utilize established internal controls and auditing systems • Prepare and update communication materials • Assist with training initiatives that inform stakeholders about compliance requirements
Lead Compliance Analyst
AmeritasAmeritas is known for providing a range of insurance, employee benefits, and financial services to individuals and families, businesses, municipalities and inst
Role Description This position is remote (within the U.S.A.) and does not require regular in-office presence. - Responsible for reviewing plan documents, preparing restatements and amendments, building solutions and resolutions for potential plan errors. - Cross team and team collaboration is very important in this role. Building strong partnerships with Sales Distributions, Advisors, Plan Sponsors, and Internal Team members is essential. - Utilize a strong understanding of ERISA. - Success in this role requires an ability to perform research and provide solutions in an independent manner. - Make recommendations to mitigate regulatory risk. - Communicate with internal and external business partners to promote their understanding and compliance with I.R.S. and D.O.L. regulatory requirements, policies, and procedures. - Manage multiple projects at one time. Delivery on service level agreements and service standards with shifting priorities. - Utilize strong PC skills on tools including Microsoft Word, Excel, PowerPoint, and Outlook. - Apply excellent verbal and written communication skills. - Employ customer service skills and problem-solving skills to make plan sponsors aware of potential plan documents issues and proactively build solutions to those concerns. - Draft and amend retirement plan documents working within Ameritas approved framework. - Conduct plan design calls with advisors and plan sponsors. - Prepare plan design illustrations. Qualifications - Bachelor’s degree or equivalent experience is required. - 3-5 years of related experience is required. - Defined contribution retirement plan experience is required. - Understanding of ERISA as well as IRS and DOL guidelines and regulations is required. - Experience working with retirement plan documents is desired. - ASPPA Designation(s) (such as QKA, QPA) or equivalent is desired. - Experience with MEP and PEP plans is desired. Benefits - A meaningful mission. Great benefits. A vibrant culture. - For your money: - 401(k) Retirement Plan with company match and quarterly contribution. - Tuition Reimbursement and Assistance. - Incentive Program Bonuses. - Competitive Pay. - For your time: - Flexible Hybrid work. - Thrive Days - Personal time off. - Paid time off (PTO). - For your health and well-being: - Health Benefits: Medical, Dental, Vision. - Health Savings Account (HSA) with employer contribution. - Well-being programs with financial rewards. - Employee assistance program (EAP). - For your professional growth: - Professional development programs. - Leadership development programs. - Employee resource groups. - StrengthsFinder Program. - For your community: - Matching donations program. - Paid volunteer time– 8 hours per month. - For your family: - Generous paid maternity leave and paternity leave. - Fertility, surrogacy, and adoption assistance. - Backup child, elder and pet care support. Company Description Ameritas is an insurance, financial services and employee benefits provider. Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life. At Ameritas, you’ll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don’t. An Equal Opportunity Employer. Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we’re committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law. This position will be open for a minimum of 3 business days or until filled. This position is not open to individuals who are temporarily authorized to work in the U.S.
• Coordinate all aspects of regulatory and client audits (i.e., pre-site deliverables, mock audits, on-site visits, logistics, and written responses to audit reports and corrective actions) and coordinate across times to document and track completion to ensure audit success. • Synthesize audit-related information (i.e., scope, findings, recommendations, corrective action plans, and status) and provide Compliance and business operations leadership written and oral reports of ongoing and completed audits. • Simultaneously manage multiple audits and collaborate across multiple business areas to communicate gather necessary information within assigned due dates. • Develop compliance communications. • Problem solve and work closely with business partners on issue resolution. • Research, understand, and articulate regulatory and contractual requirements. • Educate business partners on regulatory audit processes as needed. • Manage, track and report data related regulatory and client audits and CAPs. • Coordinate with Legal Counsel as needed. • Perform additional duties as requested or required by management.



