Compliance Coding Auditor

City/State

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Norfolk, VA

Work Shift

First (Days)

Overview:

Overview

Performs functions such as physician education, internal auditing, coder education, management of AR queries/problems, and liaising with external auditors for corporate audits. The internal audit program ensures optimal ethical reimbursement for Sentara's patients and compliance with coding guidelines. Both ICD and CPT coding methodologies are used. The Auditor must demonstrate competence in CCI, NCD, HCC, federal payer policies, and master the MPFS payment methodology within one year. Queries from audits are managed by the Compliance Auditor. The role involves completing audits, providing follow-up, identifying new problem areas, and advising management. Works with leadership on audit scheduling.

Education

• No specific education requirements

Certification/Licensure

• CPC or CCS (Required)

Experience

• 4+ years of multi-specialty coding experience (Required)
• 4+ years of acute care outpatient coding experience (Required)
• Professional fee coding experience (Required)

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and access to CEUs and professional development
• Pet Insurance, Legal Resources Plan
• Opportunity to earn an annual discretionary bonus, subject to system and employee eligibility

Sentara Health is an equal opportunity employer and values diversity and inclusion, reflecting the communities it serves.

In support of our mission "to improve health every day," this is a tobacco-free environment.

Remote work positions are available in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming.

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