You’ll need
Certifications
✓Two (2) certifications (CPC, CRC Risk adjuster, CPMA, CPCO compliance officer, or RHIT) required upon hire.
Education
✓High school diploma or equivalent required.
Qualifications
✓Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required.
✓Experience with data analysis and report preparation required.
✓Strong knowledge of healthcare regulations and standards, including Medicare and Medicaid. Knowledge of coding and billing practices in healthcare.
✓Strong problem-solving and critical thinking skills.
✓Excellent attention to detail and ability to identify errors and discrepancies.
✓Excellent verbal and written communication skills.
✓Ability to work independently and as part of a team.
✓Ability to work well under pressure and meet tight deadlines.
✓Proficiency in Microsoft Office and other relevant software applications.
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About the role
The Coding Educator-Auditor provides formal and informal coding and regulatory education/training to Providers and Professional Coders. The education will include coding and documentation requirements as directed by Federal and State requirements as well as the AMA. This position serves as a liaison between providers and coders.