GI Alliance

GI Alliance is seeking an experienced Coding Auditor & Provider Educator. Duties of this position include, but are not limited to, the following: Position Purpose The Compliance Auditor I will be responsible for researching and analyzing the medical record where there is a discrepancy in coding, validating the coding and preparing reports that summarize audit findings and provide recommendations for corrective actions, if warranted. Responsibilities/Duties/Functions/Tasks : Conducts physician chart audits to identify incorrect coding and prepares reports of findings and issues. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reports coding patterns identified within the audit process to the Director and identifies corrective measures to problems. Provides second-level review of organization's billing performance to ensure compliance with legal and...