SUMMARY: Responsible for reviewing, auditing and the education of all coding and compliance processes, as they relate to UM Referral entry, and Operative Report Review for both internal and external physician payment. Also responsible for HCC audit compliance.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE: High school diploma or general education degree required. Knowledge of medical terminology required. Two (2) years’ experience in the coding field.
CERTIFICATES, LICENSES, AND REGISTRATIONS: CPC or HCC certification required.