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Working at Neighborly may appeal to individuals who value a sense of community and are passionate about providing excellent customer service, as the company offers a supportive team environment and opportunities for growth and development in a rapidly evolving industry.
As a home services company, Neighborly operates through a network of franchisees and employees working together to provide a range of services, including home repairs, maintenance, and improvements, with a focus on customer satisfaction and quality workmanship. The company's mission is to help people take care of their homes and communities, and its employees work in a fast-paced, dynamic environment with opportunities for professional development and advancement.
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Audit and Coding Consultant
Phoenix, AZ • On-site
HonorHealth
• Health Care and Social Assistance • 10K+ employees10,000+ employees
Full-time
Re-posted 11 hours ago
HonorHealth rating
7.7
Based on 212 frontline employees who took The Breakroom Quiz
Job description
Primary City/State:
Deer Valley - 2500 W Utopia Rd Phoenix, AZ 85027
Category:
Health Information
Shift:
Day
Department:
Coding
Hybrid position. Hours M-F. Hours 8a-5p, with ability to flex due to provider schedules for education sessions.
Great care starts with great people. (Like you.)
At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities:
JOB SUMMARY
Under the direction of senior leadership, the Audit and Coding Consultant audits, develops educational materials, educates providers and coders regarding coding/documentation guidelines. Research regulations on new codes and reviews opportunities for growth. Ensures accuracy and completeness of coding through a rigorous quality review of external and internal documentation of audit process ensuring compliance with federal and state regulations. Responsible for provider and coding training programs.
ESSENTIAL FUNCTIONS
EDUCATION
EXPERIENCE
LICENSE AND CERTIFICATIONS
We're all in for your career.
Deer Valley - 2500 W Utopia Rd Phoenix, AZ 85027
Category:
Health Information
Shift:
Day
Department:
Coding
Hybrid position. Hours M-F. Hours 8a-5p, with ability to flex due to provider schedules for education sessions.
Great care starts with great people. (Like you.)
At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities:
JOB SUMMARY
Under the direction of senior leadership, the Audit and Coding Consultant audits, develops educational materials, educates providers and coders regarding coding/documentation guidelines. Research regulations on new codes and reviews opportunities for growth. Ensures accuracy and completeness of coding through a rigorous quality review of external and internal documentation of audit process ensuring compliance with federal and state regulations. Responsible for provider and coding training programs.
ESSENTIAL FUNCTIONS
- Ensure appropriate methodology to include financial controls, identification of trends and unusual patterns, reimbursement deficiencies, and to improve processes. Confirm appropriate services are provided in accordance with examination protocol and medical billing. Work with vendor to ensure audit processes maintain appropriate controls, providing feedback to both vendor and physicians regarding results. Identify unusual examiner patterns based on trends identifiable to the vendor/provider or coder. Identify deficiencies in the reimbursement process and opportunities for appropriate reimbursement. Provide a detailed report listing the findings and any adjustments required to the invoices for all inappropriately invoiced services. Make recommendation for improvements in processes or policies and create/execute provider education for individuals and/or group sessions. Maintain audit results and ensure provider movement throughout the compliance audit plan. Analyze and confirm external results and as appropriate, which with senior leadership and compliance to create action plans.
- Research guidelines and regulations for proposed lines of business. Keep revenue cycle and physicians updated on new or changing regulations. Work with IT to ensure that codes are updated and build for new services include required data points.
- Performs other duties as assigned.
EDUCATION
- Associates or 2 years' work related experience Required
- Bachelors Preferred
EXPERIENCE
- 3 years, Revenue Cycle experience Required
- 3 years, Professional Coding experience Required
- 5 years, coding leadership experience or equivalent Preferred
LICENSE AND CERTIFICATIONS
- Certified Professional Coder (CPC) - Certification, Required
- Professional Coding Auditor - Certification, Preferred
We're all in for your career.
What HonorHealth employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About HonorHealth
Sourced by ZipRecruiter
HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical education, a foundation, and community services with approximately 13,100 team members, 3,500 affiliated providers and nearly 700 volunteers. HonorHealth was formed by a merger between Scottsdale Healthcare and John C. Lincoln Health Network. HonorHealth's mission is to improve the health and well-being of those we serve.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Scottsdale, AZ, US
Year founded
2014