Regulatory Services Auditor

About the role

We are looking for an employee that can work in a fast-paced multispecialty physician group to conduct in-house audits, provider education, and provide coding related support to ensure coding accuracy and compliance. Predominantly remote position with periodic travel to Physician’s East locations to deliver audit findings and conduct provider education.

Responsibilities

• Conducts provider and coder audits to ensure coding levels and charting meet standards and regulations
• Educates providers and team members on compliance audit findings or when problems are identified
• Develops ongoing educational content to present to coding department and providers
• Shares information as necessary with the Coding & Insurance department
• Provides training and serves as a general resource to assist coders and members of department staff
• Provides information to providers and team members on current coding practices and changes in regulations and guidelines
• Collaborates with team leadership to address coding trends
• Utilizes coding resources or applicable reference materials to ensure accurate coding
• Shares billing and coding requirements for government and commercial payers
• Assists with other tasks as directed by leadership

Requirements

• Associates degree or Bachelors degree in Health Information Management with RHIT/RHIA certification and 3-5 years of multi-specialty ICD-10 and CPT experience
• or Bachelor’s degree in health care related field with CPC/CCS-P/CPMA certification and 2-4 years of direct ICD-10 and CPT experience
• or CPC/CCS-P/CPMA certification with 4-6 years of multi-specialty ICD-10 and CPT experience