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Medical Group Coding & Compliance Specialist Auditor

Medical Group Coding & Compliance Specialist Auditor

Mount Carmel Health System

Columbus, OH • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 23 days ago

Mount Carmel Health System rating

7.9

Company rating: 7.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

Employment Type:Full timeShift: Description:At Mount Carmel, we provide our colleagues with the support and learning opportunities they need to truly grow and thrive. This commitment to professional excellence is just one way in which we’re empowered to make a meaningful difference in the lives of our patients and communities.
Why Mount Carmel?

With five hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, Mount Carmel Health System serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years. As a proud member of Trinity Health, one of the nation's largest Catholic healthcare delivery systems, our network of caring spans 22 states, 94 hospitals, and 133,000 colleagues nationwide.

We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing. 

What we offer:

  • Competitive compensation and benefits packages including medical, dental, and vision coverage
  • Retirement savings account with employer match starting on day one
  • Generous paid time off programs
  • Employee recognition incentive program
  • Tuition/professional development reimbursement
  • Relocation assistance (geographic restrictions apply)
  • Discounted tuition and enrollment opportunities' at the Mount Carmel College of Nursing

  • Mount Carmel offers DailyPay - if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday.  You Deserve To Get Paid Every Day!

Why Columbus?

The nation's 14th largest city, Columbus, Ohio is one of the fastest growing major metropolitan areas in the Midwest – ranked #1 for population growth, #1 for job growth, #1 for wage growth, and #1 real estate market. And with a vibrant blend of professional sports, world-class attractions, creative cuisines, and a flourishing music and arts scene, you'll never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at www.experiencecolumbus.com

Excellence in care takes the dedication and commitment of not only our front-line care teams, but of the specialized professionals that support all aspects of our mission.  Colleagues in Finance, HR, Marketing and more keep Mount Carmel operating at the highest standard.  And we provide leading education training and development opportunities to keep you working at yours.

The Coding & Compliance Specialist monitors and evaluates coding and documentation of Mount Carmel Medical Group (MCMG) providers.  Provides feedback and education on the results of auditing and monitors the overall coding quality of coding professionals. 

Job Qualifications

  • Bachelor’s Degree in Business Administration or Associates or Bachelor's degree in Health Information Management preferred.
  • Licensure /Certification in coding (CPC, CCS-P, RHIA, RHIT) required.
  • Minimum of 1-3 years professional coding experience required.
  • Comprehensive knowledge of procedure and diagnostic coding for professional services and Medicare, Medicaid and other 3rd party payer coding and billing regulations.
  • Demonstrated knowledge of 1995 and 1997 Evaluation and Management Documentation Guidelines and other professional documentation requirements.

    Essential Responsibilities

  • Responsible for monitoring the overall coding quality coding professionals within the MCMG.
  • Provides feedback and education.
  • Provides orientation to physicians and other healthcare professionals on coding and

    documentation requirements.

  • Monitors, researches and recommends changes in response to all local, state and federal regulations pertaining to the private practice of medicine and professional services.
  • Maintains detail results of monitoring and auditing performed with documentation of necessary education, follow up and case specific findings.
  • Develops educational programs to providing ongoing training in response auditing findings or regulatory changes.
  • Serves as a resource for MCMG colleagues on professional coding and documentation requirements.

    Elevating the standards of care begins at Mount Carmel. No matter what role you play, working with us means being a part of a team focused on excellence.  Join us today!

    Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, sexual orientation or physical ability.

    *HEC*

    #MCHS

    #IND123

Our Commitment to Diversity and Inclusion
 

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

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