What are the responsibilities and job description for the Coding Auditor/Educator, Professional Billing position at HMH PHYSICIAN SERVICES, INC.?
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At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network.
Qualifications:
Education, Knowledge, Skills and Abilities Required:
- High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
- Minimum of 5 years of Physician Coding experience in a large multi-specialty group.
- Experience and thorough knowledge of ICD-10 and CPT coding.
- Knowledge of data reporting requirements and proficiency in computer skills.
- Extensive knowledge in data collection and physician coding reviews.
- Must have advanced coding education and training with a strong foundation in E/M Coding.
- Knowledge of Coding software and Google Suite: Sheets, Slides, and Docs.
- Excellent oral and written communication skills.
- Ability to work independently in a fast-paced environment.
- Ability to interact with management personnel and the provider community.
Education, Knowledge, Skills and Abilities Preferred:
- Associate's degree or higher.
- Minimum of 2 years of physician quality improvement auditing/education experience.
Licenses and Certifications Required:
- Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Coding Specialist (CCS); or Certified Professional Coder (CPC) Certification.
- Certified Professional Medical Auditor (CPMA) at hire or must obtain within one (1) year of hire.
Licenses and Certifications Preferred:
- Certified Risk Adjustment Coder (CRAC).
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!