Sr Compliance Audit & Education Specialist

About the role

Responsible for reviewing and auditing coded records across specialties for coding and compliance quality. Reports findings, makes recommendations, and presents audit results to each physician within the applicable specialty. Provides orientation and continuing education to Temple Physicians related to proper code usage, documentation deficiencies, carrier guidelines, creation of billing tools, and HIPAA and Privacy guidelines. Ensures effective communication with providers to further the compliance program. This position requires regular onsite time at various Temple Health locations.

Responsibilities

• Review and audit coded records for coding and compliance quality across specialties
• Report findings and make recommendations to physicians
• Present audit results to physicians within applicable specialties
• Provide orientation and continuing education to Temple Physicians on proper code usage, documentation deficiencies, carrier guidelines, and HIPAA/Privacy guidelines
• Create billing tools to support compliance
• Communicate effectively with providers to advance the compliance program

Requirements

• High School Diploma or Equivalent (Required)
• Bachelor's Degree (Preferred)
• 5 years experience in medical coding (physician), billing and coding auditing, compliance, clinical documentation, and coding training
• Oncology coding experience (Preferred), including medical, surgical, and radiation
• General experience in a supervisory role in a hospital setting

Qualifications

• Certified Coding Specialist (Required)
• Certified Professional Coder (Required)
• Registered Health Information Administrator (Required)
• Registered Health Information Technician (Required)