**Req Number** 191959

Job Description
Performs complex coding audits, drafts findings and advises with organization leadership to provide education on regulations and mitigate compliance risk.

Job Responsibility

+ Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate coding and documentation requirements.
+ Drafts reports detailing coding audit findings.
+ Assists with billing/documentation and regulatory risk assessments.
+ Acts as the internal expert on coding issues to ensure compliance with state and federal regulations.
+ Research, interpret and communicate federal and state laws and guidelines pertaining to Medicare and NYS Medicaid.
+ Completes thorough reviews of governmental coding audits determining potential non-compliance and future compliance risk.
+ Provides general compliance education and support to audit and facility staff involved in coding and billing; foc...