Medical Record Billing Compliance Auditor & Physician Educat

Description

Job Description:

We are seeking a Medical Record Billing Compliance Auditor & Physician Educator with a minimum of three years of experience as a Medical Record Billing Compliance Auditor and Medical Record Billing Compliance Physician Educator. The successful applicant will play a crucial role in ensuring the accuracy and compliance of professional and facility billing claims. This position will primarily involve on-site work in Tewksbury, MA, with some remote work flexibility.

Key Responsibilities:

• Perform comprehensive audits of professional and facility billing claims to ensure accuracy, compliance with coding guidelines, and regulatory requirements.

• Identify potential areas of non-compliance and recommend appropriate corrective actions.

• Develop and deliver educational sessions to physicians and healthcare staff on medical record documentation, coding, billing, and compliance best practices.

• Serve as a resource for physicians and staff regarding coding, documentation, and billing-related inquiries.

• Stay current with changes in medical coding regulations, healthcare compliance requirements, and industry best practices.

• Prepare detailed audit reports and present findings and recommendations to relevant stakeholders.

Requirements

Qualifications

• Nationally certified Medical Coder (e.g., CPC, CCS, CCS-P).

• Minimum of three (3) years of experience as a Medical Records Billing Compliance Auditor.

• Demonstrated experience serving as a Medical Billing Compliance Physician Educator.

• Strong understanding of professional billing, auditing, and compliance education principles.

• In-depth knowledge of medical coding guidelines, including ICD-10-CM, CPT, and HCPCS.

• Familiarity with state and federal healthcare regulations, billing requirements, and compliance standards.

• Excellent analytical, problem-solving, written, and verbal communication skills.

• Ability to work independently while collaborating effectively with physicians, clinical staff, and cross-functional healthcare teams.

• Proficiency with electronic health record (EHR) systems and medical billing software

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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