Nov 20, 2023

Coding Compliance Specialist

  • Tulane University Medical Group
  • Remote opportunities available
Full Time (CPC) Certified Professional Coder (CCS-P) Certified Coding Specialist - Physician Based Other

Job Description

Summary

This position is responsible for the timely auditing and coding of professional services based on provider documentation, ensuring that all services are in compliance with the Tulane University Medical Group (TUMG) Guidelines. Responsibilities also include maintaining knowledge base relative to billing functions, internal and external regulations and documentation issues. This individual is required to maintain current knowledge of CMS and Louisiana guidelines that govern reimbursement for professional services. This person must be able to work independently and process large quantities of data. The ability to communicate clearly and professionally with providers, department administrators, and the TUMG staff and respond timely and accurately to inquiries are key elements required of the individual in this position.

***This position offers remote opportunities.

Required Knowledge, Skills, and Abilities
  • Proficient computer skills and a working knowledge of Microsoft Office software applications, including Word and Excel
  • Excellent written and verbal communication skills
  • Ability to prepare and present educational material to physicians
  • Ability to work independently and demonstrate initiative
  • Good organizational skills
  • Ability to be flexible and proactive in a changing environment
  • Tactful and professional interpersonal relationships with others
Required Education and/or Experience
  • High School Diploma or equivalent
  • 5 years' multi-specialty physician services coding or auditing experience
Preferred Qualifications
  • High School Diploma or equivalent plus certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified in Healthcare Compliance (CHC)
  • Accurate keyboarding skills
  • Working knowledge of revenue cycle
  • One year IDX Meditech and EMR experience such as EPIC and eClinical works (eCw)

Required Experience Level

Intermediate Level

Minimum Education

High School

Minimum Experience Required

4-6 years

Required Travel

Less than 10%