Audit and Compliance Specialist
Upstate Medical University, Syracuse, NY, United States
Job Summary
Primary duties involve reviewing coding work queues to resolve issues and questions; specialty coding for procedures; and performing department-specific coding audits.
Responsibilities
Review charges in work queues, respond to questions, correct codes, and push charges out as appropriate.
Research and report issues as needed.
Research charge, diagnosis, and insurance information to ensure accuracy within billing practice guidelines.
Complete all requests for review in a timely manner.
Review departmental/division coding and notify providers of results.
Perform specific coding duties for assigned departments, which may include surgical or E/M coding.
Assist in other departments with charge posting, no-bill reports, or other duties as assigned.
Cooperate and maintain an open forum of communication with co‑workers, clients, outside business representatives, and supervisors.
Respond to calls and emails from billing staff seeking clarification or assistance with ICD‑10 coding, billing, or compliance issues.
Attend provider meetings as requested.
Maintain current knowledge of CPT and ICD‑10 coding conventions and general coding updates; share information regarding updates with affected parties in a timely manner.
Perform other duties as assigned or requested.
Minimum Qualifications High school education or equivalent. Must be able to work independently with speed and accuracy, be sensitive to confidential information, and maintain professional and courteous contact with providers, insurance carriers, and co‑workers.
Preferred Qualifications E/M experience preferred.
Work Days Monday – Friday daytime hours.
Benefits Our benefits package includes health, dental, and vision insurance; eligibility for employer 401(k) funding after one year (3% quarterly/5% annual on vesting schedule); tuition reimbursement; generous paid time off, including vacation and personal time; paid sick leave; holidays and floating holidays.
G3: $16.48 – $28.17
Please note the salary information shown is a general guideline only. Salaries are based upon candidate skills, experience, and qualifications, as well as internal equity, market, and business considerations.
Recruitment Office: MedBest Medical Management
#J-18808-Ljbffr
Responsibilities
Review charges in work queues, respond to questions, correct codes, and push charges out as appropriate.
Research and report issues as needed.
Research charge, diagnosis, and insurance information to ensure accuracy within billing practice guidelines.
Complete all requests for review in a timely manner.
Review departmental/division coding and notify providers of results.
Perform specific coding duties for assigned departments, which may include surgical or E/M coding.
Assist in other departments with charge posting, no-bill reports, or other duties as assigned.
Cooperate and maintain an open forum of communication with co‑workers, clients, outside business representatives, and supervisors.
Respond to calls and emails from billing staff seeking clarification or assistance with ICD‑10 coding, billing, or compliance issues.
Attend provider meetings as requested.
Maintain current knowledge of CPT and ICD‑10 coding conventions and general coding updates; share information regarding updates with affected parties in a timely manner.
Perform other duties as assigned or requested.
Minimum Qualifications High school education or equivalent. Must be able to work independently with speed and accuracy, be sensitive to confidential information, and maintain professional and courteous contact with providers, insurance carriers, and co‑workers.
Preferred Qualifications E/M experience preferred.
Work Days Monday – Friday daytime hours.
Benefits Our benefits package includes health, dental, and vision insurance; eligibility for employer 401(k) funding after one year (3% quarterly/5% annual on vesting schedule); tuition reimbursement; generous paid time off, including vacation and personal time; paid sick leave; holidays and floating holidays.
G3: $16.48 – $28.17
Please note the salary information shown is a general guideline only. Salaries are based upon candidate skills, experience, and qualifications, as well as internal equity, market, and business considerations.
Recruitment Office: MedBest Medical Management
#J-18808-Ljbffr