Sound Physicians
NY
About the Role
The Coding Compliance Specialist supports Compliance by conducting audits, investigations, and regulatory response activities related to billing, coding, documentation, privacy, and quality-of-care concerns.
This role is responsible for responding to incidents reported through the compliance hotline, performing coding and documentation audits, supporting privacy investigations, and coordinating responses to government payer inquiries. The position plays a key role in identifying compliance risks, ensuring adherence to regulatory requirements, and supporting corrective action initiatives across the organization.
Essential Duties and Responsibilities
Compliance Investigations & Hotline Response:
Review and respond to compliance hotline reports related to billing, coding, documentation, quality of care, and privacy concerns
Conduct investigations and document findings, including root cause analysis and resolution
Collaborate with Compliance, Revenue Cycle...