Oversee all aspects of medical coding and chart auditing for a healthcare organization serving primary care and long-term care settings.
This role is responsible for ensuring coding, billing, and documentation practices align with Medicare, Medicaid, commercial payer rules, CMS guidance, and organizational compliance standards. The position supports accurate reimbursement, audit readiness, and collaboration across clinical and revenue cycle teams.
Key focus areas include compliance oversight, chart auditing, coding accuracy, reimbursement integrity, and internal process improvement.
Requirements & Qualifications
Required Qualifications
- Minimum 3 years of experience in medical coding and auditing in a medical practice
- Strong background in medical coding, particularly in primary care and/or long-term care environments
- In-depth knowledge of Medicare and Medicaid regulations, CMS guidelines, OIG compliance programs, and commercial payer policies
- Proficiency with EHR/EMR systems, coding software, billing platforms, and Excel
- Strong analytical and problem-solving skills
- Excellent written and verbal communication skills
- Ability to educate and collaborate with providers and staff
Preferred Qualifications
- CPC, CPMA, or CCS certification preferred but not required
- Prior management or supervisory experience preferred
- Experience in Long Term Acute Care preferred
- Knowledge of value-based care reimbursement models and risk adjustment coding
- Familiarity with fraud, waste, and abuse regulations in healthcare compliance
Benefits & Perks
Benefits
- Competitive salary based on experience
- Comprehensive health, dental, and vision insurance
- 401(k) with employer match
- Generous paid time off and holidays
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago