Central Health

Central Health is seeking a Senior Compliance Coding Auditor to conduct independent professional coding, billing, and documentation audits across ambulatory practices. You will lead risk-based audits, provider education, and corrective action planning while collaborating with leadership to ensure compliant billing and documentation practices. The role requires CPC certification and substantial experience in ICD-10-CM, CPT, HCPCS, and payer-specific guidelines, with a focus on accuracy and #J-18808-Ljbffr

Central Health is seeking a Medical Coder to oversee revenue cycle functions, ensuring compliance with coding policies and performing accurate billing. You will work closely with healthcare providers and assist in training and education for coding practices. This position requires at least 4 years of relevant experience and certification as a CCS or CPC. Candidates must reside in Texas, Connecticut, Michigan, Ohio, North Carolina, Georgia, Florida, or Arizona. Remote work is possible but may require on-site visits in Austin, Texas. #J-18808-Ljbffr

OverviewReporting to the Director of Healthcare Compliance, the Senior Compliance Coding Auditor is responsible for conducting independent coding, billing, documentation, and regulatory compliance audits across ambulatory and specialty care practices. The position supports the organization's compliance program through risk-based auditing, monitoring, provider education, investigation of billing concerns, identification of revenue integrity risks, and development of corrective action plans. The Senior Compliance Coding Auditor serves as a subject matter expert for professional fee coding, documentation requirements, government and commercial payer regulations, and healthcare compliance standards. This role partners closely with physicians, advanced practice providers, practice leadership, revenue cycle, coding, clinical operations, and executive leadership to promote compliant billing and documentation practices.ResponsibilitiesEssential Functions:Auditing and MonitoringConduct...

Overview Reporting to the Director of Healthcare Compliance, the Senior Compliance Coding Auditor is responsible for conducting independent coding, billing, documentation, and regulatory compliance audits across ambulatory and specialty care practices. The position supports the organization's compliance program through risk-based auditing, monitoring, provider education, investigation of billing concerns, identification of revenue integrity risks, and development of corrective action plans. The Senior Compliance Coding Auditor serves as a subject matter expert for professional fee coding, documentation requirements, government and commercial payer regulations, and healthcare compliance standards. This role partners closely with physicians, advanced practice providers, practice leadership, revenue cycle, coding, clinical operations, and executive leadership to promote compliant billing and documentation practices. Responsibilities Essential Functions: Auditing and Monitoring...