"Alerted.org

Position Location: 100% Remote

This is a full-time, remote position that offers a flexible schedule.

Description:

Under the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading and maintaining the Auditing and Education team. This role involves overseeing the daily operations of assigned clients, managing staff, analyzing data, and ensuring goals align with organizational objectives. The Manager provides leadership to a team of auditors and educators, fostering growth, compliance, and quality in client engagements. This position also serves as a client advocate, ensuring services are delivered in alignment with contract terms and evolving client needs.

Candidates should have recent auditing and education experience, have been client-facing, have experience presenting or educating in-person (or virtually), and ideally have expert-level Epic proficiency.

Responsibilities:

+ Manage a team of auditors/educators ensuring adequate staffing levels, quality and productivity reviews, and conducting performance evaluations.

+ Develop and maintain audit and education schedules, workflows, and trackers.

+ Meet with clients to plan audits and provide education on audit results regarding accurate coding and best practices.

+ Attend meetings and deliver presentations to providers, clients, and company executives.

+ Communicate client goals and requirements to the team to ensure proper execution.

+ Regularly review client project goal templates and address concerns with proactive communication.

+ Ensure project deliverables adhere to internal quality standards.

+ Develop and deliver coding training programs for staff and clients.

+ Provide ongoing education to team and clients on coding updates, compliance issues, and best practices.

+ Address individual errors through targeted coaching.

+ Conduct professional audits across multiple specialties and settings, including E&M and surgical cases.

+ Conduct regular meetings with the Coding Director and Team Leads.

+ Collaborate with the Coding Director to identify opportunities for efficiencies.

+ Collaborate with the Business Development team to support client growth and retention, as well as onboarding new clients. This includes strategic planning that aligns with our clients’ mission and vision, to include compliant strategies for improving revenue.

+ Stay updated on coding guidelines and changes (ICD-10-CM, CPT, HCPCS, AMA, CMS, AHA Coding Clinics, HHS/OIG).

+ Ensure coding compliance with industry standards and payer requirements.

+ Address discrepancies and adherence to Local Coverage Determination (LCDs) and National Coverage Determination (NCDs).

+ Generate reports on compliance metrics and audit findings.

+ Analyze data trends and implement corrective actions.

+ Provide customized reports and summaries to leadership as needed.

+ Collaborate with Coding Managers and support clients with coding needs as required.

+ Complete other duties assigned by leadership.

Education/Experience Requirements:

+ High School diploma required. Associate or BS degree in the healthcare field preferred.

+ Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. Successful completion of the AAPC CPMA credential is required; preferably a combination of two or more credentials.

+ Minimum 8 years of recent physician coding experience and 5 years of recent physician auditing experience are required.

+ Minimum 3 years of management or supervisory experience in this field preferred.

+ Experience educating providers one-on-one or in group settings.

+ Experience creating and implementing audit plans.

+ Demonstrated ability to take the lead with client engagements and develop new and existing business.

+ Must have a professional demeanor and exceptional communication skills (verbal and written), and be able to communicate confidently with large groups and stakeholders.

+ Must be a subject matter expert on E&M and Surgical coding. Must have expert knowledge of medical terminology, anatomy and physiology, disease processes, CPT coding and guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional services.

+ Experience working independently, excellent time management, masterful research and organizational skills, the ability to switch between multiple projects, and the ability to meet project deadlines are a must.

+ Additional skills required: Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and healthcare information and billing systems.

+ Experience working with Google Workspace is preferred but not required.

+ Experience working remotely is preferred but not required.

+ Experience with auditing specialties for Ophthalmology, Behavioral Health, Cardiology (CV/CT Surgery), Complex ENT Surgery, Dental, Complex Plastic Surgery, Orthopedic Surgery, NICU/PICU, and FQHCs/RHCs a PLUS.

About MedKoder, LLC:

• Privately held, growing company with strong values and ethics

• Professional development and education

• All positions are permanent – no contracts or sitting on a “coding bench”

• Generous paid time off, holiday pay, and flexible scheduling year-round

• Internal network of Medical Coding Industry Leaders – CEO is a Certified Coder with 20+ years of experience

• Up to 100% EMPLOYER PAID Medical, Dental, and Vision benefits for employees

• 401K and Profit Sharing

• STD, LTD, Life Insurance, and FSA Program

• Paid AAPC and AHIMA corporate memberships

• 30 Hours of CEU pay (continuance in education)

• MedKoder is recognized nationally by Modern Healthcare as Best Place to Work

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