We have an exciting opportunity to join our team as a Coding Integrity Specialist.

In this role, the successful candidate Reports to the Coding Quality Manager.

Job Responsibilities:

Perform other duties as needed.

Objectively review and Audit clinical documentation, CPT-4, HCPCS, modifiers and ICD-10 coding to ensure accurate reimbursement and compliance with CMS and third party payer laws and regulations.

Develops complete reports reflecting audit findings including negative and positive trends. Reports findings to leadership and follows through as directed.

Effectively and professionally communicate complex information in both oral and written format in a way that is understandable to the audience.

Provide professional coding, billing, and compliance guidance/education to offshore coding teams.

Independently analyze and weigh the risks verses benefits in decisions and recommendations related to provider b...