Eventus WholeHealth · 2 days ago
Auditing and Monitoring Specialist
United States
Part-time
Remote
Entry, Mid Level
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Responsibilities
Assist with new on-boarding of providers coding and documentation training
Educate new providers proper coding and documentation requirements and perform pre-bill & post bill audits, documentation review, spot auditing, and coding accuracy checks
Perform provider documentation audits and reviews of medical records to ensure compliance with coding and documentation standards and comply with Medicare/Medicaid guidelines
Provide education/training to providers, clinical team members, coding team members and other individuals as necessary
Conduct periodic meetings with providers to include chart reviews, coding reviews for over/under coding patterns, coding patterns in general and code specific revenue enhancement opportunities
Work closely with the Auditing & Monitoring Team Lead to identify potential risk areas and/or providers who require additional education
Perform other duties as assigned
Follows the direction of the Quality Assurance Manager with regards to all assigned duties
Qualification
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Required
High School Diploma (or GED equivalent)
Certified Professional Coder-Apprentice (CPC-A)
Previous or current long-term care experience
Knowledge of ICD-10 Coding Procedures and HIPAA regulations
Experience with an Electronic Medical Record (EMR) and/or practice management system
Familiarity with medical terminology
Knowledge of HIPAA privacy laws and commitment to privacy, security, and confidentiality of all medical chart documentation
Competent knowledge of Microsoft office; strong Excel skills
Ability to work under pressure of tight deadlines and complete task accurately
Ability to effectively handle multiple priorities
Strong level of detail and accuracy
Ability to utilize resources provided to research topics/insurance guidelines to ensure accurate ICD and ICPT coding
Ability to communicate clearly and concisely in verbal and written form
Customer service attitude
Strong communication skills via verbal and written and will be able to speak with providers and clinical team members confidently
Preferred
Associate degree in Health Information Technology
Certified Professional Coder
Company
Eventus WholeHealth
Eventus wholehealth provide physician-led healthcare services for residents and patients of skilled nursing and assisted living facilities.
Founded in 2014
501-1,000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Enhanced Healthcare Partners
2021-01-13Debt Financing· undefined
2019-01-09Private Equity· undefined
Leadership Team
Rick Brajer
Chairman and CEO
W
Will Sampson
Psychologist, Co-Founder & Director Of Clinical Education
Recent News
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