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Coding/Compliance Internal Auditor I

Company: Atlantic Health System
Location: Morristown
Posted on: November 22, 2022

Job Description:

Overview:
Atlantic Medical Group's Coding and Compliance Department in Morristown, NJ is currently seeking an Internal Coding Auditor. -

Responsibilities:
Coordinates, schedules, performs the professional services documentation and coding audits of outpatient, inpatient, procedures and testing records for AMGEvaluates the quality of clinical documentation to identify incomplete or inconsistent documentation that could impact the quality of data being reportedAudits codes and professional fee services performed by providers from medical records according to ICD-10, CPT, HCPCS, and CMS guidelinesResponsible for maintaining up to date knowledge of coding guidelines as they relate to professional services.Develop and coordinate educational and training programs regarding elements of coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates.Evaluates and provides appropriate documentation for the third party payer CPT denials to maintain the original CPT assignment, and when necessary, implement corrective action plan and/or educational programs to prevent similar denials and rejections from recurring.Meets with the providers to review the audit findings and to recommend ways to improve when indicatedOrients and trains new providers throughout the yearAudit charts for accurate and correct coding and compliance within documentation guidelines and AMG/AHS policiesPrepares written reports of the audit findings by provider/practiceFollows up with providers as needed until documentation improvesAssists with claim denial reports to ensure optimal reimbursementServes as a resource to the office staff, providers, and billing departmentProvides clarification on AMG coding and compliance policiesOther duties as required at the discretion of the manager/director

Qualifications:
Education:High School Diploma requiredCollege degree preferredCPC Certificiation (required)Minimum Experience Required:1-4 years coding experience preferred

About Us:
Atlantic Health System aims to deliver the highest quality, safety and care combined the best experience for our patients and their families. We are confident that you will find success within Atlantic Health System, which has been named for the 14th year in a row to Fortune's "Top 100 Best U.S. Companies to Work For" list. We believe you will find that our culture of collaboration and care exemplifies the value we place on our patients, their families and our employees.

EEO Statement:
Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.

Keywords: Atlantic Health System, Newark , Coding/Compliance Internal Auditor I, Other , Morristown, New Jersey

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