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Assistant Chart Audit Jobs (NOW HIRING)

Community Hospice

Clinical Team Assistant

Ashland, KY · On-site

... chart audit, request missing documents, assure receipt and file. - Completes monthly satisfaction survey data. - Provides quarterly reports to utilization review committee. - Keeps data for shared ...

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Director of Medical Coding & Chart Audit Services

Director of Medical Coding & Chart Audit Services

Imagine Staffing Technology

Buffalo, NY

$140K - $160K/yr

Full-time

Posted 24 days ago

Job description

Job Title: Director of Medical Coding and Chart Audit Services
Location: Buffalo, NY
Hire Type: Direct Hire
Pay Range: $140,000 - $160,000
Work Type: Full-time
Work Model: Onsite
Work Schedule: Monday – Friday, 8am – 5pm
Recruiter Contact: Sean Pebbles | 716-256-1259 | spebbles@imaginestaffing.net
Nature & Scope:
Positional Overview
The Imagine Group is recruiting for a Director of Medical Coding and Chart Audit Services, on behalf of our client, A leading non-profit healthcare system serving Buffalo, New York, providing a full continuum of care through hospitals, outpatient centers, long-term care facilities, and home health services. It is guided by a mission rooted in compassion, dignity, and community wellness, offering a wide range of medical specialties and patient-centered services across the Buffalo region.
In this role, you will be responsible for managing and overseeing professional outpatient coding and chart auditing services as well as facilitating medical documentation improvements for the providers and private clients. Additionally, the position is responsible to manage and reduce coding denials; assist implementing EMR updates to improve documentation accuracies and reduce coding denial rates; maintaining and updating the claim scrubbers ensuring all coding edits are current and compliant with applicable federal and state regulation and with CMS and AMA coding guidelines.
Role & Responsibility:
Tasks That Will Lead to Your Success
  • Manages professional coding for primary care and specialties including E&M, procedures, radiology, labs coding etc.
  • Manages coding audits for company practices and clients based on contracted schedule.
  • Oversees Coding KPI and goals and meeting of coding initiatives and financial benchmarks.
  • Supports and contributes toward Epic and client’s EMR updates.
  • Works closely with Revenue cycle leaders to ensure that practices and clients receive the maximum Payer reimbursement to which they are entitled while improving the client compliance objectives.
  • Manage professional claim scrubbers and billing system coding edits per coding guidelines
  • Supports company growth strategies.
  • Updates and maintains Payer policies specific to each Client along with databases of coding guidelines. Educates Clients and staff on correct Coding guidelines and provides annual CPT, ICD-10, and vaccine updates.
  • Supervises and mentors the Medical Coding Team to ensure they provide Clients with the highest level of Medical Coding service.
  • Attends meetings with internal and external teams, clients, vendors etc.
  • Responsible for promoting an atmosphere that is cognizant of compliance with all State and Federal laws, rules and regulations and the risks of non-compliance.
  • Develop standardized policies, procedures and job descriptions consistent with professional standards and legal/regulatory requirements.
  • Recommends enough qualified and competent persons to provide Coding and Auditing services.
  • Responsible for efficiency and resource allocation. Provides management team with the leadership and oversite in maintaining and monitoring budgeted FTE’s.
  • Coordinates supervision and management of department staff; hires, develops, assigns work to and evaluates management staff.
  • Responsible for maintaining confidentiality of highly sensitive information.
  • Maintains confidentiality of work-related medical record documentation and conversation in accordance with hospital/department policy and procedure.
  • Other duties as assigned are to meet operational needs.
Skills & Experience
Qualifications That Will Help You Thrive
  • Bachelor’s degree in a related health or science field
  • Medical Coding certification through American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) is also required with multiple certifications a plus
  • 3 - 5 years of multi-specialty professional coding experience required
  • Minimum 3 years’ professional experience as a coding and auditing manager in health care system
  • Epic experience highly recommended
  • The successful candidate should have a thorough understanding of Current Procedural Terminology (CPT) codes, International Classification of Diseases (ICD-10) diagnosis codes and appropriate modifier use as well as experience with AHA Coding Clinic and CPT Assistant as resources
  • Extensive knowledge of Medicare and Commercial Payers coding and billing policies
  • Knowledge of National Correct Coding Initiatives (NCCI) edits, National and Local Coverage Determination Policies (NDC and LDC) and Medically Unlikely Edits (MUE)
  • Experience working with EMR and practice management systems
  • Strong research capabilities with respect to medical procedures and technology; and an excellent knowledge of medical terminology
  • Excellent computer skills - Word, Excel, multiple EHR systems and electronic encoders
  • Excellent communication skills
  • Works well in a team environment and has the capability to multi-task several responsibilities
  • Recognizes and protects the confidentiality of all patient and employee information according to HIPAA policy
  • Interfaces well with external and internal Professionals at all levels- Medical, Legal, and Clerical