Education: Minimum of 3 years of experience with a licensure and/or certification in at least one of the following: RHIA, RHIT, CCS, CCS-P, and CPC.
- Additional credential of Certified Professional Medical Auditor (CPMA) within 1 year of position employment .
Experience: A minimum of 3 years CPT and ICD-10 coding and/or documentation and billing auditing for providers.
Other Requirements: Must maintain a valid driver’s license and have reliable transportation for the purposes of meeting with providers at our various clinic/hospital locations.
Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.
Work Environment: Position is in a well-lighted office environment. Occasional evening and weekend work. Requires travel to and from the ULP campus.
- Involves sitting approximately 80 percent of the day, walking or standing the remainder.
- Must be able to walk long distances at the different clinic/hospital locations for provider meetings and educational presentations.
- Must be able to employ a diplomatic approach when meeting with providers and delivering audit findings, understanding that the findings may at times be ill received, yet not wavering in the departmental duty to remain objective towards compliance
- Knowledge of health care regulations and standards as they apply to correct coding.
- Understands regulatory and organizational guidelines and remains aware of changes in the healthcare environment.
- Working knowledge of ICD-10-CM and CPT coding guidelines and conventions.
- Skills in interpersonal communication.
- Skills in efficient use of time, i.e. time management skills
- Skills in analytics.
- Able to interpret documentation, billing, and coding guidelines.
- Able to organize work priorities and meet deadlines while handling large volumes of work.
- Maintains a professional and cooperative attitude with providers, co-workers, and employers.
- Able to maintain confidentiality of all compliance related information.