Centra Health · 19 hours ago
Coding & Audit Specialist- Full time, Days, REMOTE
United States
Full-time
Remote
Entry, Mid Level
2+ years expCentra Health is a healthcare provider seeking a Professional Coding & Audit Specialist I to perform audits of provider documentation and coding for evaluation & management services. The role involves educating and training staff on coding guidelines and conducting audits to ensure compliance with regulatory requirements.
Health CareHospitalMedicalOncology
Responsibilities
Completes annual initial coding reviews as assigned by the Manager of Professional Coding and Audit for Centra Medical Group (CMG) with a focus on Evaluation and Management
Prepares individual provider Audit Summary reports based on review and shares findings per Centra’s CMG Coding Audit Plan Policy
Maintains a working knowledge and utilizes the current documentation guidelines for E/M services, ICD-10-CM, CPT, Healthcare Common Procedure Coding System (HCPCS) coding guidelines to apply best practices, conduct accurate audits and deliver feedback
Maintains a working knowledge and utilizes Centers for Medicare & Medicaid Services (CMS), Medicare Administrative Contractor, Commercial payer, and other coding references (AMA, AAPC, CPT Assistant, etc.) guidelines related to coding to apply best practices, conduct accurate audits, and deliver feedback and education
Research authoritative coding guidance related to complicated coding questions, new codes and/or new services to build own knowledge
Reports coding concerns to the Professional Coding and Audit Manager and assists as needed in resolving issues
Assists with the development of education, training, and resources to be used for educating providers and staff to promote accurate coding
Maintains strict confidentiality of all information including patient data, Healthcare information, financial/operational and employee/human resources
Performs other duties as assigned
Qualification
Required
Certified Professional Coder (CPC) or Certified Coding Specialists (CCS)
Minimum of 2 years working experience in Professional Evaluation and Management coding
Must have working knowledge of Evaluation and Management documentation guidelines
Must have working knowledge of Anatomy and Physiology
Must have working knowledge ICD-10- CM, Current Procedural Terminology (CPT) and HCPCS coding guidelines
Must have exceptional communication skills to include great listening skills, excellent written & verbal communication skills
Must have demonstrated proficiency using Microsoft Word, Excel, and PowerPoint
Company
Centra Health
Centra Health renders cancer care, health care, surgeons and hospital services.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Diane Ludwig Baker
Senior Vice President Chief Marketing & Communications Officer
Joan Deal
Interim SVP / Chief Nursing Officer
Recent News
2025-04-03
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