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Title
Text copied to clipboard!Coding Compliance Analyst
Description
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We are looking for a meticulous and detail-oriented Coding Compliance Analyst to join our team. The ideal candidate will be responsible for ensuring that all coding practices within our organization adhere to established guidelines and regulations. This role involves auditing medical records, analyzing coding patterns, and providing feedback to healthcare providers to ensure compliance with federal and state regulations. The Coding Compliance Analyst will work closely with various departments to identify areas of improvement and implement corrective actions. This position requires a deep understanding of medical coding systems, healthcare regulations, and the ability to communicate effectively with medical staff. The successful candidate will have a strong background in medical coding, excellent analytical skills, and a commitment to maintaining the highest standards of accuracy and compliance. If you are passionate about healthcare compliance and have a keen eye for detail, we encourage you to apply for this exciting opportunity.
Responsibilities
Text copied to clipboard!- Conduct regular audits of medical records to ensure coding accuracy.
- Analyze coding patterns and identify areas of non-compliance.
- Provide feedback and training to healthcare providers on proper coding practices.
- Develop and implement corrective action plans for identified coding issues.
- Collaborate with various departments to ensure compliance with federal and state regulations.
- Maintain up-to-date knowledge of coding guidelines and healthcare regulations.
- Prepare detailed reports on audit findings and compliance issues.
- Assist in the development of coding policies and procedures.
- Monitor changes in coding regulations and update practices accordingly.
- Participate in compliance committee meetings and provide input on coding-related matters.
- Review and respond to coding-related inquiries from healthcare providers.
- Ensure accurate and timely submission of coding data to regulatory agencies.
- Conduct root cause analysis of coding errors and implement preventive measures.
- Assist in the development and delivery of coding compliance training programs.
- Maintain confidentiality of patient information and adhere to HIPAA regulations.
Requirements
Text copied to clipboard!- Bachelor's degree in Health Information Management, Nursing, or related field.
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification.
- Minimum of 3 years of experience in medical coding and compliance.
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
- Familiarity with federal and state healthcare regulations.
- Excellent analytical and problem-solving skills.
- Strong attention to detail and accuracy.
- Ability to communicate effectively with medical staff and other stakeholders.
- Proficiency in using coding software and electronic health records (EHR) systems.
- Ability to work independently and as part of a team.
- Strong organizational and time management skills.
- Ability to handle sensitive information with discretion.
- Commitment to continuous learning and professional development.
- Experience in conducting coding audits and developing corrective action plans.
- Strong written and verbal communication skills.
Potential interview questions
Text copied to clipboard!- Can you describe your experience with medical coding and compliance?
- How do you stay updated with changes in coding regulations?
- Can you provide an example of a time when you identified a coding error and implemented a corrective action plan?
- How do you ensure accuracy and attention to detail in your work?
- What strategies do you use to communicate coding issues to healthcare providers?
- How do you handle sensitive patient information in compliance with HIPAA regulations?
- Can you describe your experience with coding software and electronic health records (EHR) systems?
- What steps do you take to conduct a thorough coding audit?
- How do you prioritize your tasks and manage your time effectively?
- What motivates you to work in the field of coding compliance?