. Connecting. Growing together. Reporting to the Provider Education and Escalations Manager, the Coding Education Consultant... is part of a team responsible for conducting coding audits for escalated claims and providing coding education to providers...
Provider Education and Escalations Manager, the Coding Education Consultant is part of a team responsible for conducting coding... audits for escalated claims and providing coding education to providers and facilities who are inaccurately billing...
clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim... to include quality audits, as well as validation of accuracy and completeness of all coding elements, and medical necessity...
appropriate diagnosis related group (DRG) assignments Maintains current working knowledge if ICD-10 coding principles and CMS... regulations Investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical...
- Full Time Duration: 3 months with possible extension Location: Remote As a Physician Compliance Auditor 2... and communicate them to the appropriate personnel. Implement annual coding reviews and ensure that compliance issues and areas...