Coding & Compliance Specialist

Schedule: Monday - Friday 8am -4:30pm

Required Job Specific Competencies:

• Demonstrates skills in customer service, communication, team building and problem solving.


• Demonstrates competency in all areas of hospital third party insurance billing including federal and state regulations.


• Demonstrates skill in proactively resolving problems, recommending, and implementing process changes.


• Demonstrates skill in communicating with patients, payer representatives and associates throughout the Health System.


• Coordinates and conducts periodic medical record audits for providers to assess compliance with coding (over/under coding, trends), billing, documentation, and payer regulations. Develops reports as directed. Reports findings to management and providers.


• Electronic Medical Record experience preferred


• Highly organized and detail oriented

Qualifications:

• CPC-A required, CPC or CPC-H preferred


• Excellent communication skills and ability to form collaborative partnerships across all service settings.


• Proficient in the use of Electronic Medical Records (EMR); ability to create reports on own and interface with EMR vendor to develop reports where none currently exist


• Extensive knowledge RBRVS and federal, state, and other payer regulations pertaining to documentation, coding (E&M, modifiers, critical care) and billing.


• Ability to analyze coding and actively question and guide providers and/or Billing staff as appropriate.


• Strong medical terminology background


• Competent in Microsoft Office products (Word, Excel, Outlook, PowerPoint). Self-directed, self-starter and able to implement new program


• Accepts responsibility and follows through on projects and activities.


• Ability to assimilate new information and technologies into daily work.

Education:

• CPC-A required


• CPC or CPC-H preferred


• Associates degree, preferred               

Experience:

• 3-5 years of healthcare experience, preferred 


• Billing Experience preferred


• Excellent public/patient relations and communication skills.


• Skills in using computers including Excel and Word required.

Pay Range: $20.00 - $25.00/hour

Starting Pay: Based on Experience 

Thompson Health is an EOE encouraging  individuals with disabilities, and veterans to apply.