Job description

ETSU Physicians Department of Compliance has an opening for a Certified Professional Compliance Auditor. ETSU Physicians is a University-based multi specialty practice group located in Northeast Tennessee, and is affiliated with ETSU Health, Quillen College of Medicine, and East Tennessee State University. ETSU Physicians offers a competitive compensation package with salary based on education and experience. Our comprehensive benefits package includes: health, dental, vision, disability, critical illness, accident and life insurance. 18 days paid personal time off and 10.5 paid holidays annually, and, a paid retirement plan with an employer matching program.

SUMMARY: Under supervision of the Director of Compliance, the Compliance Auditor will participate in the performance of medical record audits of all College of Medicine Departments involved with billing third-party payers. Will also serve as an educator for physicians, residents, and billing staff regarding coding and documentation requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES: may include the following. Other duties may be assigned.

• Perform annual audits of documentation of inpatient and office medical records by physicians, residents, nurse practitioners and other providers.
• Educate the physicians, residents, nurse practitioners and other providers of coding and documentation issues based on the audits.
• Report audit results to the Associate Dean, Compliance Committee, and Board of Directors as appropriate.
• Provide coding and documentation guidelines to the physicians, residents, nurse practitioners and billing employees as needed.
• Provide an orientation to all new hire physicians on the compliance plan and policies, teaching physician guidelines.
• Research problem areas and provide solutions related to coding, payer requirements.

EDUCATION AND/OR EXPERIENCE: Knowledge of CPT, ICD-10-CM and HCPCS coding systems and guidelines. Basic knowledge of HIPAA guidelines necessary. Experience in an academic and/or multi-specialty environment preferred. Knowledge of medical terminology, physician billing, third-party regulations and auditing procedures. CCS, CPC, ART or RRA required, plus 3 years of coding and billing experience. Bachelor's degree and/or previous auditing experience preferred but not required.

OTHER SKILLS AND ABILITIES: Ability to establish and maintain an effective working relationship with coworkers, supervisors and vendors. Ability to act diplomatically and confidentially. Ability to operate computers, keyboards, and printers. Ability to operate phone system. Ability to concentrate on the situation at hand and listen effectively. Ability to organize tasks, work as a team member and/or independently. Knowledge of, computer systems and work-related programs. Skill in verbal communication and customer relations. Must demonstrate good interpersonal skills to work in busy administrative office. Must demonstrate good time management and problem solving skills.

APPLY ONLINE AT ETSUHEALTH.ORG/EMPLOYMENT

EOE / AA/M/F/Disability/Vet ETSU Physicians participates in E-verify

Job Type: Full-time

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Education:

• Bachelor's (Preferred)

Experience:

• Medical Coding: 3 years (Preferred)

License/Certification:

• ART or RRA Certification (Preferred)

Work Location: In person

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