Sentara Healthcare Inc
Norfolk, VA, USA
Sentara Health is seeking to hire a qualified individual to join our team as a Compliance Coding Auditor! Position Status : Full-time, Day Shift Position Location: This is a remote position for residents of Virginia or North Carolina . Position Summary: Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the...