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Coding & Compliance Specialist (Remote)

External Brand
Full-time
Remote
United States

ABOUT AUSTIN REGIONAL CLINIC:

Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years!   We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/

PURPOSE

Assist with coding and compliance auditing initiatives. Carries out all duties while respecting patient confidentiality and promoting the mission and philosophy of the organization supported.

ESSENTIAL FUNCTIONS

  • Completes assigned chart reviews and audits to ensure compliance with coding and documentation standards.
  • Works assigned charge review work queues in a timely manner.
  • Works closely with all departments such as providers, business office staff, lab, radiology, IT and Billing/Collections departments to assist in accuracy of billed charges.
  • Researches, analyzes, and responds to inquiries regarding coding and documentation.
  • Assists with responses to regulatory and/or external coding and compliance audits.
  • Maintains knowledge of coding and documentation requirements. Keeps abreast of industry trends and communication.
  • Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct.
  • Regular and dependable attendance.
  • Follows the core competencies set forth by the Company, which are available for review on CMSweb.

OTHER DUTIES AND RESPONSIBILITIES

  • Performs other duties as assigned.

QUALIFICATIONS

Education and Experience

Required:  High school diploma or GED. Two (2) or more years of experience working in coding and auditing.

Preferred: Four (4) or more years of experience in Coding and Auditing.

Certificate/License

  • Current applicable industry recognized credential (i.e. CPC, RHIA, RHIT)

Knowledge, Skills and Abilities

  • Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation.
  • Ability to engage others, listen and adapt response to meet others’ needs.
  • Ability to understand, recall, and apply oral and/or written instructions or other information.
  • Ability to manage competing priorities.
  • Ability to perform job duties in a professional manner at all times.
  • Ability to understand, recall, and communicate, factual information.
  • Ability to organize thoughts and ideas into understandable terminology.
  • Ability to apply common sense in performing job.
  • Excellent customer service skills.
  • Excellent verbal and written communication skills.
  • Excellent interpersonal & problem solving skills.
  • Ability to work in a team environment.
  • Ability to manage competing priorities.
  • Excellent computer and keyboarding skills, including familiarity with Windows.

Work Schedule:  Mon-Fri; 8-5 (Flexible) (Remote)

Work Location: Training and orientation at our Administrative facility. Work-from-home opportunities after training complete. Must reside in Texas and be willing to attend on-site training and occasional in-person department meetings in Austin, TX.