Top 5 Quality auditor Jobs in Fountain Inn, Sc

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quality auditor jobs near fountain inn, sc

Professional Billing Quality Coding Auditor, FT, Days, - Remote

Prisma Health -
Greenville, SC

Apply Now

Job Details

Full-time
8 days ago

Qualifications

Medical coding experience in physician offices
Certified Professional Coder
Bachelor's degree

Full Job Description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Performs routine and specialty reviews of coders to ensure accurate coding. Prepares a summary of findings and presents reports to leadership on a monthly basis. Assists with training coders on identified opportunities for improvement. Assists in preventing coding denials.

Essential Functions

All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
Performs multi-specialty reviews for the Medical Group validating the CPT, ICD-10, modifiers and HCPCS codes using official coding guidelines and CMS guidelines and prepares a summary of findings.
Performs review of all coders within the department and prepares a summary of findings.
Provides training to coders on identified issues found during reviews.
Codes charges for professional billing based on review of clinical documentation.
Identifies and assists with the resolution of coding issues and process improvement.
Assists in creating edits to prevent denials.
Assists in creating a standardized process for front end coding including the development of training materials.
Mentors and trains coders on correct coding guidelines.
Interacts with other departments to assist in resolving coding.
Performs other duties as assigned.

Supervisory/Management Responsibilities

This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

Education - Bachelor's degree in Business or related field of study
Experience - Three (3) years multi-specialty coding experience in professional billing

In Lieu Of

Required Certifications, Registrations, Licenses

CPC Certified Professional Coder (AAPC) and
CPMA Certified Professional Medical Auditor (AAPC)

Knowledge, Skills and Abilities

Knowledge of medical terminology and basic anatomy and physiology with the ability to apply coding concepts to ensure correct coding.
Analytical skills.
Working knowledge of Epic, Encoder Pro, 3M
Ability to work independently and manage multiple projects consistently
Proficient computer skills (word processing, spreadsheets, database)
Data entry skills

Work Shift

Day (United States of America)

Location

Independence Pointe

Facility

7001 Corporate

Department

70019178 Medical Group Coding & Education Services

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Apply Now

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quality auditor jobs in fountain inn, sc

Professional Billing Quality Coding Auditor, FT, Days, - Remote

Quality Auditor

Vendor Compliance Auditor

Revenue Cycle QA Auditor

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