Cardiovascular Institute of the South
Houma, LA, USA
Job Duties: -Develop and maintain physician audit plan to include a yearly review of: a. Clinic and hospital EM services b. Medical necessity issues with Denials and encounters no-billed -Perform coding and billing audits and provide written audit reports to administration and the providers. -Perform data analysis to ensure coding compliance of providers, including level of service analysis against Medicare and other pertinent benchmarks, i.e. MedAxiom and White Plume reports. -Develop and present educational materials, based on audit findings, to providers, management, coding and billing staff on correct coding guidelines and government policies per state regulations. -Develop policy guidelines and procedures in accordance with governmental regulations and the medical industry standards/practices. Research, develop and maintain documentation on coding guidelines for physician practices. -Maintain thorough knowledge of CMS/Medicare/Medicaid & private payer, NCDs, LA...