** This is a new position.  They are very motivated and we need someone with solid coding experience and abilities.

Salary Range           BOE

Position Title           Coding Compliance Educator/Analyst  #1435

Relocation               Yes (strongly prefer local)

Location                  Seattle, WA


JOB SUMMARY:

Responsible for achieving and maintaining provider coding accuracy and completeness at the levels required by the yearly Corporate Compliance Work Plan. Works directly and intensively with new providers to educate and monitor their compliance to coding and reimbursement standards and to develop work plans for them to meet requirements. Participates in discussions and decisions regarding individual provider's appropriateness to be on a regular audit cycle vs. a focused review, and any corrective action that may be indicated. Provides feedback to the Compliance Manager and Officer and Chief Medical Officer on risks associated with the compliance of individual providers. Serves in a training capacity with providers and coding staff. Responsible for remaining current on coding and compliance law and guidelines. Serves in a consultant capacity to the Compliance Manager and Compliance Officer regarding potential areas of improvement for the company in meeting the Compliance Plan, and to the CMO on potential improvements in recruiting, coding and auditing of E&M services, and procedures.

REQUIREMENTS:

. Bachelor's degree or equivalent experience in health care related field.
. Hold and maintain Coding certification.
. Five years health care experience in a physician group practice or other ambulatory care setting.
. 5+ years of coding experience for a multi-specialty group and a score of at least 90% on Coding Competency Test required.
. 2 years of experience conducting provider education and audits.
. Hold and maintain Auditing certification.
. Demonstrated expertise in current multi-specialty CPT, ICD-9, and HCPC coding principals and practices.
. Proven ability to interact with physicians and support staff.
. Strong communication skills, both written and verbal.
. Ability to communicate effectively in written and spoken English.
. Strong presentation abilities.
. Thorough knowledge of Medicare/Medicaid and third party coding requirements.
. Flexible and willing to adapt to changing working conditions.
. Ability to work in a culturally diverse environment.

Bottom Line

1.  Bachelor's degree or equivalent experience in health care related field.
2.  Hold and maintain Coding certification & Auditing certification.
3.  5+ years of coding experience for a multi-specialty group and a score of at least 90% on Coding Competency Test required.
4.  2 years of experience conducting provider education and audits.
5.  Demonstrated expertise in current multi-specialty CPT, ICD-9, and HCPC coding principals and practices.

Erica Hood-Vincent
EHV Consultants
resumes@ehvconsultant.com
Candidate Line: 414-678-8095
Fax 866-593-9866

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