Medical Record Billing Compliance Auditor - Physician Educator

Job Description

Job Description

Job Title: Medical Record Billing Compliance Auditor Physician Educator
Employer: Healthforce, Inc., a healthcare administrative services consulting firm, since 2015.
Location: Primarily On-Site at Lemuel Shattuck Hospital, Jamaica Plain, Massachusetts (Massachusetts Department of Public Health Facility) with some remote work flexibility.

Job Description: We are seeking a Nationally Certified Medical Coder 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 our professional and facility billing claims. This position will primarily involve on-site work at Lemuel Shattuck Hospital in Jamaica Plain, 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 corrective actions.
• Develop and deliver educational sessions to physicians and hospital staff on medical record documentation, coding, and compliance best practices.
• Serve as a resource for physicians and staff regarding coding and billing inquiries.
• Stay current with changes in coding regulations, healthcare compliance, and industry best practices.
• Prepare detailed audit reports and present findings to relevant stakeholders.

Qualifications:

• Must have: Nationally Certified Medical Coder (e.g., CPC, CCS, CCS-P).
• Three years of experience as a Medical Record Billing Compliance Auditor preferred .
• Proven experience as a Medical Billing Compliance Physician Educator.
• Strong understanding of professional billing, auditing, and education principles.
• In-depth knowledge of medical coding guidelines (e.g., ICD-10-CM, CPT, HCPCS).
• Familiarity with state and federal healthcare regulations and compliance standards.
• Excellent analytical, problem-solving, and communication skills.
• Ability to work independently and collaboratively within a healthcare team.
• Proficiency in electronic health record (EHR) systems and billing software.

Salary and Benefits :

• Healthforce, Inc. offers an attractive salary and comprehensive benefits package, commensurate with experience and qualifications.

Company Description

Healthforce, Inc., is a healthcare administrative consulting firm with a focus on revenue integrity through regulatory compliance, coding and billing guidance. Healthforce’s mission is to provide the appropriate mix of skilled business analysts, auditors and coders, equipped with affordable and flexible software for customized support, to assist client practices and facilities to reach the highest level of revenue integrity: optimal and compliantly collected revenue from accurately reported medical services that is beyond retraction by third-party payers, claim reviewers and recovery audit contractors.

Company Description

Healthforce, Inc., is a healthcare administrative consulting firm with a focus on revenue integrity through regulatory compliance, coding and billing guidance. Healthforce’s mission is to provide the appropriate mix of skilled business analysts, auditors and coders, equipped with affordable and flexible software for customized support, to assist client practices and facilities to reach the highest level of revenue integrity: optimal and compliantly collected revenue from accurately reported medical services that is beyond retraction by third-party payers, claim reviewers and recovery audit contractors.