Position Summary:
We have an exciting opportunity to join our team as a Coding Integrity Specialist.
In this role, the successful candidate Reports to the Coding Quality Manager.

Job Responsibilities:

• Perform other duties as needed.
• Objectively review and Audit clinical documentation, CPT-4, HCPCS, modifiers and ICD-10 coding to ensure accurate reimbursement and compliance with CMS and third party payer laws and regulations.
• Develops complete reports reflecting audit findings including negative and positive trends. Reports findings to leadership and follows through as directed.
• Effectively and professionally communicate complex information in both oral and written format in a way that is understandable to the audience.
• Provide professional coding, billing, and compliance guidance/education to offshore coding teams.
• Independently analyze and weigh the risks verses benef...