Auditing & Coding Analyst III in Wentzville, MO at Compass Health

Date Posted: 7/10/2018

Job Snapshot

Job Description

Compensation: $23.57/hour

DEPARTMENT: Compliance

REPORTS TO: Clinical Documentation Improvement Director

POSITION PURPOSE

The purpose of the Auditing & Coding Analyst III is to review medical claims prior to billing to assure complete and accurate billing and in – depth auditing claims prior to billing. Documentation is there to support accurate coding.

ESSENTIAL FUNCTIONS – JOB SPECIFIC

• Daily review of charges in the electronic system; for completeness of charges entered, with focus on searching for unbilled services ancillary to the office visit (i.e. Labs, vaccinations, procedures etc.). This process will be completed for all medical sites
• In-depth review of medical records for completeness and accuracy of charges prior to billing by looking at various pieces of documentation for all claims billed. Communicate any error trends to supervisor
• Re-working of denial claims & following up on items of concern
• Keeping supervisor abreast of billing/coding issues
• Educate Physicians on documentation elements they might miss on coding updates and code to level of specificity
• Help to educate & get the Welcome to Medicare documented correctly so can be billed
• Educate providers on documentation and coding updates
• Miscellaneous duties as assigned

ESSENTIAL FUNCTIONS – COMPANY WIDE

• Regularly attends work except for approved absences
• Attends all training as required
• Maintain professional, “champion” behavior
• Provides quality customer service
• Provides services with a commitment to service excellence
• Works in a way that exhibits a commitment to personal excellence
• Team Oriented and Values Diversity

 

 

Job Requirements

EDUCATION

High School/GED required

WORK EXPERIENCE

• Knowledge of federal & state compliance regulations required
• At least five years of similar professional experience preferred

LICENSURE/CERTIFICATION

AAPC (CPT) & ICD 10 coding certification required