What are the responsibilities and job description for the Medical Record Billing Compliance Auditor - Physician Educator position at Healthforce, Inc.?
Job Title: Medical Record Billing Compliance Auditor Physician Educator
Employer: Healthforce, Inc., a healthcare administrative services consulting firm, since 2015.
Location: Primarily On-Site at Tewksbury Hospital, Tewksbury, Massachusetts (Massachusetts Department of Public Health Facility) with some remote work flexibility and occasional work at a secondary site.
Job Description: We are seeking a Nationally Certified Medical Coder with a minimum of three years of experience as a Medical Record Billing Compliance Auditor and Medical Record Billing Compliance Physician Educator. The successful applicant will play a crucial role in ensuring the accuracy and compliance of our professional and facility billing claims. This position will primarily involve on-site work at Tewksbury Hospital in Tewksbury, MA, with some remote work flexibility.
Key Responsibilities:
- Perform comprehensive audits of professional and facility billing claims to ensure accuracy, compliance with coding guidelines, and regulatory requirements.
- Identify potential areas of non-compliance and recommend corrective actions.
- Develop and deliver educational sessions to physicians and hospital staff on medical record documentation, coding, and compliance best practices.
- Serve as a resource for physicians and staff regarding coding and billing inquiries.
- Stay current with changes in coding regulations, healthcare compliance, and industry best practices.
- Prepare detailed audit reports and present findings to relevant stakeholders.
Qualifications:
- Must have: Nationally Certified Medical Coder (e.g., CPC, CCS, CCS-P).
- Three years of experience as a Medical Record Billing Compliance Auditor preferred.
- Proven experience as a Medical Billing Compliance Physician Educator.
- Strong understanding of professional billing, auditing, and education principles.
- In-depth knowledge of medical coding guidelines (e.g., ICD-10-CM, CPT, HCPCS).
- Familiarity with state and federal healthcare regulations and compliance standards.
- Excellent analytical, problem-solving, and communication skills.
- Ability to work independently and collaboratively within a healthcare team.
- Proficiency in electronic health record (EHR) systems and billing software.
Salary and Benefits:
- Healthforce, Inc. offers an attractive salary and comprehensive benefits package, commensurate with experience and qualifications.
Salary : $45 - $50