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- Tasks: Join us as a Compliance Coding Auditor, ensuring ethical reimbursement and compliance in coding practices.
- Company: Sentara Health is a top-ranked integrated healthcare system focused on growth and patient safety.
- Benefits: Enjoy remote work options, a supportive team, and opportunities for professional development.
- Why this job: Make a real impact in healthcare while mastering complex coding protocols in a dynamic environment.
- Qualifications: Must have CPC or CCS certification and 4+ years of multi-specialty coding experience.
- Other info: This is a full-time, day shift position available for residents of Virginia or North Carolina.
The predicted salary is between 36000 - 60000 £ per year.
Sentara Health is seeking to hire a qualified individual to join our team as a Compliance Coding Auditor!
Position Status : Full-time, Day Shift
Position Location: This is a remote position for residents of Virginia or North Carolina .
Position Summary:
Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara’s patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year. All queries arising from the audit process are managed by the Compliance Auditor. Follows audit plan, completing numerous audits and providing follow-up to coders, management, and physicians. Looks for new problem areas, trends, etc., and advises Manager of Audit and Coding Compliance. Works with leadership regarding scheduling of internal and external audits.
Required:
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CPC or CCS
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4+ years of experience with multi-specialty coding and acute care outpatient coding
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Professional fee coding experience
Please visit the link below to learn more about Sentara’s commitment to diversity and inclusion:
Sentara Overview
For more than a decade, Modern Healthcare magazine has ranked Sentara Health as one of the nation’s top integrated healthcare systems. That’s because we are dedicated to growth, innovation, and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.
Sentara Benefits
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Compliance Coding Auditor employer: Sentara Healthcare Inc
Contact Detail:
Sentara Healthcare Inc Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Compliance Coding Auditor
✨Tip Number 1
Familiarize yourself with the specific coding methodologies mentioned in the job description, such as ICD, CPT, and CCI. This knowledge will not only help you during the interview but also demonstrate your commitment to mastering the required skills.
✨Tip Number 2
Network with professionals in the compliance and coding field, especially those who have experience with Sentara Health or similar organizations. Engaging with them can provide valuable insights and potentially lead to referrals.
✨Tip Number 3
Stay updated on the latest changes in federal payer policies and coding regulations. Being knowledgeable about current trends and updates will set you apart as a candidate who is proactive and well-informed.
✨Tip Number 4
Prepare for potential scenario-based questions during the interview that assess your problem-solving skills in coding compliance. Think of examples from your past experience where you successfully navigated complex coding issues.
We think you need these skills to ace Compliance Coding Auditor
Some tips for your application 🫡
Understand the Role: Make sure to thoroughly read the job description for the Compliance Coding Auditor position. Familiarize yourself with the specific responsibilities and required qualifications, such as CPC or CCS certification and experience in multi-specialty coding.
Highlight Relevant Experience: In your application, emphasize your 4+ years of experience in acute care outpatient coding and professional fee coding. Provide specific examples of how you've successfully managed audits or worked with coding compliance.
Showcase Your Skills: Demonstrate your knowledge of coding methodologies like ICD, CPT, CCI, NCD, and HCC. Mention any relevant training or certifications that showcase your expertise in these areas.
Tailor Your Cover Letter: Craft a personalized cover letter that reflects your understanding of Sentara Health's commitment to diversity and inclusion. Explain why you are passionate about the role and how your values align with the company's mission.
How to prepare for a job interview at Sentara Healthcare Inc
✨Know Your Coding Standards
Make sure you are well-versed in ICD and CPT coding methodologies. Brush up on Correct Coding Initiative (CCI) and National Coverage Determination (NCD) guidelines, as these will likely come up during your interview.
✨Demonstrate Your Experience
Be prepared to discuss your 4+ years of experience with multi-specialty coding and acute care outpatient coding. Highlight specific examples where you've successfully managed audits or resolved coding issues.
✨Understand the Role of Compliance
Familiarize yourself with the importance of compliance in healthcare coding. Be ready to explain how you ensure ethical reimbursement and adherence to established compliance guidelines in your previous roles.
✨Prepare Questions for the Interviewers
Show your interest in the position by preparing thoughtful questions about the internal audit program and how the team collaborates with external auditors. This demonstrates your proactive approach and eagerness to contribute.
