Specialist, Coding Audit, Compliance and Education

AcclaraRemote, United States


Description

Hey there! We’re Acclara.

As a remote-first workforce with team members in all 50 states, we’re a unique group of strategists, technologists, and service providers—all united in serving our partners to deliver the best care to their patients, helping build even healthier communities for us all to live and work in.

We bring our one-of-a-kind selves to work each day, and we welcome (and want) you to do the same. Coffee connoisseurs, moms and dads, runners, animal lovers, adventurists—the list goes on—we all came to make a difference, and we stay because we’ve found a place where we don’t have to do it alone.

Our team’s work is fueled by our CORE values of Commitment, Outcomes, Respect, and Empowerment. They’re the “how” behind what we do, guiding our actions as we aim to change the way technology and services come together.

The Role

The Coding Audit, Compliance and Education Specialist is responsible for performing retrospective and prospective compliance reviews of coding related to inpatient and outpatient professional and facility charges. The role includes delivering findings and education based on documentation requirements both verbally and in writing to the client.  

What You’ll Do

  • Responsible for auditing of clinical documentation to ensure appropriate selection of evaluation and management codes, CPT, HCPCS and modifiers as well as appropriate sequencing of diagnostic codes 
  • Responsible for conducting documentation audits and preparing resulting reports, including national comparative data as it relates to the clients individually or aggregately 
  • Responsible for creating and maintaining education materials for clients to support documentation improvement or understanding as it relates to coding, ensuring documentation meets coding guidelines and the standards of ethical coding; specialty and service line specific coding and reimbursement topics and completing administrative activities required to deliver education 
  • Responsible for researching, reviewing, and interpreting payer guidelines 
  • Performs validation reviews for coding quality, accuracy, and compliance 
  • Provides written feedback and/or one on one recommendations for providers or other coding staff related to documentation and coding guidelines 
  • Prepares audit reports for presentation 
  • Prepares resource material for education, including tip sheets and coding resources 
  • Abides by the Standards of Ethical Coding and adheres to official coding guidelines 
  • Responsible for researching education topics and/or opportunities for clients on coding and reimbursement issues and updates and completing administrative activities required to deliver education 

 

What We’re Looking For

  • Bachelor’s degree or equivalent education and experience  
  • 5 years coding and/or auditing experience working in multiple specialties   
  • A nationally recognized coding credential: CPMA, CPC, COC, CCS, CCS-P, RHIA or RHIT   
  • Excellent oral and written communication skills to effectively interact with and communicate with clients. 
  • Strong experience working with PowerPoint, Excel, and Adobe. 
  • Understanding of all or a combination of ICD-10-CM and PCS, CPT, HCPCS, medical terminology, Anatomy and Physiology and HIPAA Compliance   
  • Ability to consistently engage and build relationships with internal and external partners. 
  • Self-motivated and resourceful with the ability to multi-task and meet deadlines under time pressures. 
  • Position qualifies for work from home, however, travel to client locations may be required. 

 

Preferred Qualifications

  • Experience in Adult Learning and Education 

How We Take Care of Our Team Members

  • Remote-first workplace, with opportunities to work on-site in certain locations
  • Comprehensive medical, dental, and vision coverage
  • Parental leave
  • 401K with company match
  • Company-paid life insurance, short-term disability, and long-term disability
  • Paid time off and holidays

Pay Range: $24.91 - $41.36

This compensation range is a reasonable estimate that extends from the lowest to the highest pay Acclara in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Acclara may ultimately pay more or less than the posted range as permitted by law.

Diversity, Equity, and Inclusion Matter

At Acclara, you’re invited to bring more of yourself to work—not less. Your background, your culture, and your personal experiences are all important pieces of the authentic you, and we honor that. Connection is created when we show up.

Acclara, an R1 company, is dedicated to the fundamentals of equal employment opportunity. Acclara’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, Acclara is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you need reasonable accommodation due to a disability for any part of the interview process, please contact [email protected].

Visa Sponsorship is not available at this time.

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