Summary
***This is a FT hybrid position working both remote and onsite, with flexibility to meet educational and organizational needs.
The Provider Audit & Education Auditor/Educator Specialist position is chiefly responsible for the core elements of compliance related to professional medical chart auditing and educating physicians, APPs, and other supporting providers and ancillary staff in multi-specialty settings across the MHMG. The Auditor/Educator Specialist reports to the Operations Compliance Manager, following onboarding training with the Education Compliance Manager. The Auditor/Educator Specialist reviews professional encounter note for accuracy; level of service coding, diagnostic coding; as well as other relevant, non-clinical, compliance elements and subsequently furnishes education. Specialists meet personally with new hires to furnish providers with onboarding training education to establish a strong foundation of communication, rapport, and coding education and compliance knowledge. Continued education is furnished to providers throughout the year and annually as regulations and rules change. Responds promptly to coding inquiries from providers or others with precise and accurate results, as well as the ability to research and interpret regulations and coding changes. The Auditor/Educator Specialist should possess the ability to work independently as well as in a group setting. Maintaining coding compliance education and relevant certifications required.
Required Minimum Knowledge, Skills, and Abilities (KSAs)