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- Tasks: Conduct audits, educate physicians, and manage coding queries to ensure compliance.
- Company: Join Sentara Health, a leader in patient care and ethical reimbursement.
- Benefits: Enjoy remote work options, tuition assistance, and generous paid time off.
- Why this job: Make a real impact on healthcare while growing your skills in a supportive environment.
- Qualifications: 4+ years of coding experience and relevant certifications required.
- Other info: Diversity and inclusion are core values; remote positions available in multiple states.
The predicted salary is between 36000 - 60000 £ per year.
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 various states.
Compliance Coding Auditor employer: Sentara
Contact Detail:
Sentara Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Compliance Coding Auditor
✨Tip Number 1
Familiarise yourself with the latest coding guidelines and regulations, especially ICD and CPT methodologies. This knowledge will not only help you in interviews but also demonstrate your commitment to staying updated in the field.
✨Tip Number 2
Network with professionals in the compliance and coding industry. Attend relevant webinars or local meetups to connect with others who may provide insights or even referrals for the Compliance Coding Auditor position.
✨Tip Number 3
Prepare to discuss specific examples from your past experience that highlight your auditing skills and problem-solving abilities. Being able to articulate how you've handled AR queries or liaised with external auditors can set you apart.
✨Tip Number 4
Research Sentara Health's mission and values thoroughly. Understanding their commitment to diversity and inclusion will allow you to align your responses during interviews, showing that you're a good cultural fit for the organisation.
We think you need these skills to ace Compliance Coding Auditor
Some tips for your application 🫡
Understand the Role: Before applying, make sure you fully understand the responsibilities of a Compliance Coding Auditor. Familiarise yourself with the key functions such as physician education, internal auditing, and compliance with coding guidelines.
Highlight Relevant Experience: In your CV and cover letter, emphasise your 4+ years of multi-specialty coding experience and acute care outpatient coding experience. Be specific about your professional fee coding experience and any relevant certifications like CPC or CCS.
Tailor Your Application: Customise your application to reflect how your skills and experiences align with the job description. Mention your competence in CCI, NCD, HCC, and federal payer policies, as well as your understanding of the MPFS payment methodology.
Proofread Your Documents: Before submitting your application, carefully proofread your CV and cover letter for any errors. Ensure that all information is accurate and clearly presented, as attention to detail is crucial in this role.
How to prepare for a job interview at Sentara
✨Brush Up on Coding Guidelines
Make sure you're well-versed in ICD and CPT coding methodologies. Familiarise yourself with CCI, NCD, HCC, and federal payer policies, as these will likely come up during the interview.
✨Showcase Your Experience
With 4+ years of multi-specialty and acute care outpatient coding experience required, be prepared to discuss specific examples from your past roles that demonstrate your expertise and problem-solving skills.
✨Prepare for Scenario-Based Questions
Expect questions that assess how you would handle real-life auditing situations. Think about past challenges you've faced and how you resolved them, particularly in relation to compliance and ethical reimbursement.
✨Highlight Your Communication Skills
As the role involves liaising with external auditors and advising management, emphasise your ability to communicate complex information clearly and effectively. Be ready to provide examples of how you've successfully collaborated with others in your previous positions.
