Coding Compliance Auditor I

JR18057 Coding Compliance Auditor I

locations

United States

time type

Full time

job requisition id

JR19030

Country:

United States of America

Location:

Florida - Remote

WHY JOIN FCS

At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages.

 

Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.

 

A LITTLE BIT ABOUT FCS

Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence.  With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network.  Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care.  We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval.

 

Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients.

 

Come join us today!

 

SUMMARY:

 

The Coding Compliance Auditor I is responsible for performing both routine and non-routine coding audits under the Direction of the Coding and Billing Compliance Director. The Coding Compliance Auditor I is also responsible for audit reporting, communication of audit outcomes, and following up on any additional audit needs. The Coding Compliance Auditor I assists senior team members with education, government audits, and addressing coding inquiries as needed.

Demonstrates working knowledge of all facets of role, relevant regulations, and organizational and departmental policies and procedures. Performs other duties and projects as assigned. Performs all duties in accordance with regulatory requirements and organizational policies and procedures.

This individual works independently while also collaborating in a team environment to address coding and billing matters across various departments within FCS.

 

PRIMARY TASKS AND RESPONSIBILITIES:

• Performs routine coding audits under the Direction of the Coding and Billing Compliance.
• Performs ad-hoc or non-routine coding audits under the Direction of the Coding and Billing Compliance.
• Drafts and prepares audit results and reports to be shared with the FCS providers.
• Reviews and provides timely responses to coding inquiries.
• Assists with follow up education for Providers where required.
• Contributes to the completion of government audits when requested.
• Reviews documentation to ensure coding is supported by medical records.
• Ensures documentation aligns with claim data.
• Contributes to the completion and revision of Training Manuals, PowerPoints and policies and procedures.
• Maintains confidentiality of all information as required by regulations and guidelines.
• Knowledgeable of federal and state Coding regulations.
• Staying abreast of continuously shifting Coding Compliance landscape to ensure FCS remains in compliance with all state, federal, and local regulations, laws, and policies.
• Performs additional tasks as needed to support team and FCS

 

EDUCATION/CERTIFICATIONS & LICENSES:

• High School Diploma required.

 

EXPERIENCE:

• Minimum of two (2) years of experience with outpatient specialty Coding required.
• Coding Certification from AHIMA or AAPC required.

 

CORE COMPETENCIES, KNOWLEDGE/SKILLS/ABILITIES:

• Proficiency with ICD-10 diagnosis coding, HCPCS, and CPT coding required.
• Professional Evaluation and Management (E/M) coding knowledge preferred.
• Knowledge of medical record documentation, medical terminology, and coding terminology.
• Strong auditing and review skills.
• Ability to review and interpret government, state, and payor regulations, manuals, and guidance.
• Experience with Electronic Health Records (EHR), Coding software, and Practice Management Systems.
• Analysis & critical thinking; using resources available to solve problems and exercise independent judgment.
• Strong interpersonal skills to include effective verbal and written communication.
• Proficient in Microsoft Excel, Word, Teams, and PowerPoint.
• Solid time management skills with the ability to independently prioritize multiple tasks at once with changing priorities/deadlines.
• Ability to collaborate across various levels of management, departments, and teams.

 

VALUES:

• Patient First – Keeping the patient at the center of everything we do
• Accountability – Taking responsibility for our actions
• Commitment & Care – Upholding FCS vision through every action
• Team – Working together, one team, one mission

 

Expectations for all Employees:

 

Every FCS employee is expected to regularly conduct themselves in a professional and respectful manner, to comply with all labor laws, workplace policy and workplace practices. Employees are expected to bring issues of any forms of workplace harassment, discrimination or other potential improprieties to the attention of their management or the human resources department.

 

#FCS-CORP

#LI-YB1

 

SCREENINGS – Background, drug, and nicotine screens

Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening.  Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption. In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing. Medical Marijuana cards are not recognized.

 

EEOC

Florida Cancer Specialists & Research Institute (FCS) is committed to helping individuals with disabilities to participate in the workforce and ensure equal opportunity to compete for jobs. If you require an accommodation to submit a resume for positions at FCS, please email FCS Recruitment (Recruiter@FLCancer.com) for further assistance. Please note this email address is intended to request an accommodation as part of the application process. Any other correspondence will not receive a response.

 

FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status.