Senior Compliance Analyst, HIM

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Role Overview:

Serves as an expert resource and assists the HIM Compliance Manger in the daily operations of HIM Compliance's centralized revenue review functions, which includes management of the coding/documentation compliance program, including appropriate assignment of ICD10, CPT, E&M, MOA, as it relates to hospital billing.
• Maintains expertise in relevant CMS regulations and industry standards regarding the coding/documentation of hospital technical services.
• Monitors compliance through oversight of periodic reviews of coding practices.
• Communicates directly with physicians, administrators, patient accounts, and physician billing to ensure that clinical documentation is coded accurately and in compliance with CMS, JCAHO and HIPAA standards.

Key Qualifications:

• Knowledge & experience interpreting coding guidelines & implementing CMS Regulatory requirements.
• Ability to use specialized knowledge to handle complex work assignments and provide guidance to less experienced staff and/or head project teams.
• Communication skills required include preparation & presentation of information

Core Skills:

• Strong communication skills
• Experience in ICD10, CPT, EM, MOA medical coding and an understanding of hospital workflows
• Proficiency using EPIC, Excel and Microsoft Suite

Additional Information:

• Schedule: 9:00 AM - 5:00 PM EST, Monday - Friday
• Location: Hybrid; 95% remote
• Reporting to: Manager II, Health Information Management
• Pay Range: $73,900.00-$114,400.00

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