Coding and Compliance Specialist - Auditing

Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process.

This is a remote position in the United States.

JOB SUMMARY:

The position is responsible for coordinating provider coding and compliance activities and outcomes within Concentra Health Services, including but not limited to revenue optimization, level of service coding and diagnosis coding.

Benefits

Employee Benefits:

• $2,000 Sign On Bonus
• We offer an internet service reimbursement
• Annual certification reimbursement (AAPC or AHIMA)
• Monthly CEUs (Continuing Education Units) credits.
• Company issued laptop and two monitors for improved productivity
• Internal subscriptions for coding manuals, and access to Codify.
• Healthcare benefits including medical, dental vision – PPO and HMO plans
• 401k with company match
• Internal growth opportunities in leadership
• PTO Accrual

Responsibilities

MAJOR DUTIES AND RESPONSIBILITIES:

PrimaryFunctions:

1. Provider/Coder support, education and training related to revenue optimization, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards.
2. Perform compliance audits for designated provider/coder centers consistent with established audit protocol.
3. Coordinate with Zone Medical Leadership in development of provider/coder training plans and for active support in the training process.
4. Organize and schedule periodic training as indicated from audit results, denial and down coding trends, level of service reports, etc. and/or as requested by medical leadership or CBO management.
5. Monitor Coding and State Workers’ Compensation changes to ensure that most current information is available.
6. Provide coding support to CBO as requested.
7. Other duties as may be assigned.

Qualifications

EDUCATION/CREDENTIALS:

High School

Associates degree or Bachelor’s degree or equivalent experience

CPC or CCS-P coding certification Required

JOB RELAVENT EXPERIENCE:

Five years progressive healthcare billing, coding and auditing experience including provider training and presentation.

JOB-RELATED SKILLS/COMPETENCIES:

Auditing

Basic computer skills – PowerPoint, Excel, Word

Strong process management skills

Familiarity with state specific workers’ compensation regulations

Training and presentation skills