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Role Description

The Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up.

• Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.
• Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.
• Provide education, instruction, and training to providers and coding staff.
• This position is remote but does require onsite education to providers as needed.

Qualifications

• High School Diploma/G.E.D. - required
• Two years or more prior experience in professional fee coding - required
• Knowledge of multiple coding specialties - preferred
• Working knowledge and experience with provider professional fee coding and charge processing.
• Complex coding skill set required.
• Computer experience, windows environment with proficiency in Microsoft Word and Excel is required.
• Excellent verbal and written communication skills (High proficiency).
• CPC, CCA, CCS, COC, RHIT, or RHIA - required
• Equivalent combination of relevant education and experience may be substituted as appropriate.

Requirements

• This position requires a CPC Certification - Upon Hire
• Two years or more prior experience in professional fee coding - required

Company Description

Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

• Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties.
• Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose.
• Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.