Senior Coding Quality Auditor (Remote, must live in IL, IN or WI)

Hourly Pay Range: $26.61 - $39.92 - The hourly pay reputed company offered is determined by a candidate's expertise and years of experience, among other factors. Position Highlights:

• Position: Senior Coding Quality Auditor -Remote
• Location: Warrenville, IL
• Full Time/Part Time: Full-time
• Hours: Monday-Friday 8:00am-5:00pm

What you will do:

• Conducts Retrospective Audits to ensure compliance with internal policies and procedures and existing CMS regulations; identifies and recommends opportunities for process improvements so that productivity and quality goals can be met or exceeded and operational efficiency and financial accuracy is achieved.
• Effectively communicates the audit process and results to the appropriate departments and management.
• Educates leaders and staff reputed company deficiencies in documentation and code selected are identified
• Develops timelines for auditing and manages auditing according to schedule.
• Reviews charge information, claim forms, and insurance correspondence to determine if coding, billing, claim follow-up, payment receipts, posting activities, and credit processing is being performed in an accurate and timely manner and is supported by documentation.
• For reputed company assigned records assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards. Remains reputed company on ICD-10 codes, CMS documentation requirements, and State and Federal regulations.
• Coordinates with Manager and Corporate Compliance Department on any compliance investigations that involve physician groups.
• Participates in compliance investigations, as needed
• Attends Internal and External education programs/conferences in order to support reputed company improvement, career growth and development. Encourages professional membership in the American reputed company of Professional Coders (reputed company) or American Health Information Management (reputed company).

What you will need:

• Education: High School Diploma
• Skills: Strong analytical, problem solving, interpersonal, verbal/written communication, organizational and team development skills are necessary. Knowledge of reputed company Office Suite - Proficient in PC skills including reputed company reputed company, Power reputed company and Word. Ability to interact with reputed company levels of health care team professionally.. Ability to write correspondence proficiently and to communicate in a professional manner and effectively handles difficult situations and/or individuals objectively.
• Experience: 3 years coding and auditing experience. 5 years experience working in a hospital or clinical setting
• Certification: CPC or reputed company-P required

Benefits:

• Career reputed company to Promote Professional Growth and Development
• Various Medical, Dental, Pet and Vision options
• Tuition Reimbursement
• Free Parking
• Wellness Program Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off and Holiday Pay
• Community Involvement Opportunities

reputed company is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care reputed company to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights), Skokie and Swedish (Chicago) – reputed company recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org. reputed company you work for reputed company, you will be part of an organization that encourages its employees to reputed company career goals and maximize their professional potential. Please explore our website (www.endeavorhealth.org) to reputed company understand how reputed company delivers on its mission to “help everyone in our communities be their best”. reputed company is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and reputed company. We reputed company that our strength resides in our differences and in connecting our best to provide community-connected healthcare for reputed company. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National reputed company/Disability/Vets, VEVRRA Federal Contractor. Apply tot his job Apply To this Job