Coding Compliance Coordinator - Miamisburg - PRO Compliance - Full Time - Days
Company: Kettering Health Network
Location: Miamisburg
Posted on: August 6, 2022
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Job Description:
Coding Compliance Coordinator - Miamisburg - PRO Compliance -
Full Time - DaysUS-OH-MiamisburgJob ID: 2021-32725Type: Full-Time#
of Openings: 1Category: Administrative/Business Support1 Prestige
PlaceOverviewKettering Health is a not-for-profit system of 13
medical centers and more than 120 outpatient facilities serving
southwest Ohio. We are committed to transforming the health care
experience with high-quality care for every stage of life. Our
service-oriented mission is in action every day, whether it's by
providing care in our facilities, training the next generation of
health care professionals, or serving others through international
outreach. ResponsibilitiesResponsibilities: Identify and assess
billing compliance, operational and financial risks within the
employed physician network, Kettering Physician Network (KPN).
Audit and monitor physician practices for compliance with existing
policies and government regulations. Develop compliance and
education plans, policies and procedures that affect operations and
assure recommendations to minimize risk are implemented timely and
effectively.Job Description:1. Conduct internal audits to review
coded and abstracted data for accuracy and quality in order to
ensure coding compliance for the KPN.a. Prepare written reports of
audit findings and recommendations to minimize risk2. Performs
general and targeted audits.3. Identifies rejected claims due to
coding and billing errors.4. Assists in the development of Coding
Compliance Action Plans in response to audit findings and makes
recommendations as necessary.5. Provides compliance education and
training as necessary.6. Assists in the development of the
Corporate Integrity Annual Work Plan.7. Collaborates with
appropriate colleagues and KPN leaders in the development of
improved capabilities in the areas of documentation, coding, and
compliance.8. Responds to questions regarding documentation, and
coding issues.9. Participates in the claims review processes.10.
Assists in the review of contracts for compliance issues.11.
Maintain in depth understanding of federal and state laws and
regulations pertaining to billing and coding compliance within KPN
Requirements:Minimum: Associates Degree in related field with three
years revenue cycle and/or compliance experience (physician or
hospital based experience).Preferred: Bachelor's degree in related
field with coding certification and three years progressive revenue
cycle and/or compliance experience.CPC or CCS
Certification-requiredKnowledge, Skills, and Abilities:---
Knowledge of Recovery Audit Contractor Program, Conditions of
Participation, and OIG Work Plan--- High level of independent
judgment and problem-solving skills--- Strong attention to detail
with ability to multi-task--- Excellent oral and written
communication skills--- Strong analytical, project management,
report design, and organizational skills--- Proficiency in computer
and software programs including MS Office, PowerPoint, and
ExcelQualifications#PM21 PI187914949
Keywords: Kettering Health Network, Dayton , Coding Compliance Coordinator - Miamisburg - PRO Compliance - Full Time - Days, Other , Miamisburg, Ohio
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