Hattiesburg Clinic, PA
Revenue & Training Specialist - Chart Audit
Hattiesburg Clinic, PA, Hattiesburg, Mississippi, United States, 39400
Revenue & Training Specialist - Chart Audit
2902 W Arlington Loop, Hattiesburg, MS 39401, USA
Job Description Posted Tuesday, December 16, 2025 at 7:00 AM
POSITION SUMMARY:
The Revenue & Training Specialist is a multifaceted role responsible for supporting audit processes, ensuring compliance, and providing education in medical coding and documentation standards. In this position, the employee will assist the Revenue Analyst with Procedure and Recovery Audit Contractor (RAC) audits, ensuring that all audits are completed in a timely manner. The role also involves reviewing medical records for accuracy, quality assurance, and billing compliance, as well as conducting internal audits and staying current with policy and procedural guidelines to ensure proper coding practices are followed. The specialist will promote compliance by reviewing provider charts, delivering feedback and education to providers, and preparing and conducting training sessions for coders. In addition, the position provides support for the HCC Auditor by assessing medical records to determine appropriate HCC/ICD-10 codes and verifying compliance with healthcare policies and standards. Another key responsibility is providing medical coding instruction to coders, which includes developing curricula, creating PowerPoint presentations, leading educational sessions, and addressing coder questions. The role may also require assisting with coding work queues during staff absences, closeout periods, or when workload levels are elevated by management.
EDUCATION & EXPERIENCE:
Graduate from a school of nursing (LPN or RN), required
If candidate is a graduate from a school of nursing without coding certification, then AAPC (CPC and CRC) certifications must be obtained within 6 months of hire
If candidate already has Certified Professional Coder (CPC) certification through the AAPC, then a Certified Professional Medical Auditor (CPMA) must be obtained within 6 months of hire
Knowledge of ICD-10, CPT, and HCPCs codes, required
Must have thorough knowledge and experience in Medicare rules and regulations and billing and coding principles
QUALIFICATIONS:
Ability to maintain strict confidentiality and handle sensitive information with discretion
Strong communication skills, both oral and written, as communication with providers and managerial staff is required.
Knowledge and experience in Medicare rules and regulations, coding and billing principles.
Must be motivated and possess strong communication, problem solving, and capable of working effectively with physicians and non-physicians.
Must have strong oral presentation skills as group presentations may be required.
Must possess strong organizational skills, as well as the ability to complete multiple tasks within a designated time frame.
WORK SCHEDULE:
Monday - Friday, 7:00AM - 4:00PM or 8:00PM - 5:00PM
2902 W Arlington Loop, Hattiesburg, MS 39401, USA
#J-18808-Ljbffr
Job Description Posted Tuesday, December 16, 2025 at 7:00 AM
POSITION SUMMARY:
The Revenue & Training Specialist is a multifaceted role responsible for supporting audit processes, ensuring compliance, and providing education in medical coding and documentation standards. In this position, the employee will assist the Revenue Analyst with Procedure and Recovery Audit Contractor (RAC) audits, ensuring that all audits are completed in a timely manner. The role also involves reviewing medical records for accuracy, quality assurance, and billing compliance, as well as conducting internal audits and staying current with policy and procedural guidelines to ensure proper coding practices are followed. The specialist will promote compliance by reviewing provider charts, delivering feedback and education to providers, and preparing and conducting training sessions for coders. In addition, the position provides support for the HCC Auditor by assessing medical records to determine appropriate HCC/ICD-10 codes and verifying compliance with healthcare policies and standards. Another key responsibility is providing medical coding instruction to coders, which includes developing curricula, creating PowerPoint presentations, leading educational sessions, and addressing coder questions. The role may also require assisting with coding work queues during staff absences, closeout periods, or when workload levels are elevated by management.
EDUCATION & EXPERIENCE:
Graduate from a school of nursing (LPN or RN), required
If candidate is a graduate from a school of nursing without coding certification, then AAPC (CPC and CRC) certifications must be obtained within 6 months of hire
If candidate already has Certified Professional Coder (CPC) certification through the AAPC, then a Certified Professional Medical Auditor (CPMA) must be obtained within 6 months of hire
Knowledge of ICD-10, CPT, and HCPCs codes, required
Must have thorough knowledge and experience in Medicare rules and regulations and billing and coding principles
QUALIFICATIONS:
Ability to maintain strict confidentiality and handle sensitive information with discretion
Strong communication skills, both oral and written, as communication with providers and managerial staff is required.
Knowledge and experience in Medicare rules and regulations, coding and billing principles.
Must be motivated and possess strong communication, problem solving, and capable of working effectively with physicians and non-physicians.
Must have strong oral presentation skills as group presentations may be required.
Must possess strong organizational skills, as well as the ability to complete multiple tasks within a designated time frame.
WORK SCHEDULE:
Monday - Friday, 7:00AM - 4:00PM or 8:00PM - 5:00PM
2902 W Arlington Loop, Hattiesburg, MS 39401, USA
#J-18808-Ljbffr