Imagine Pediatrics is hiring a
Coding Compliance Auditor

Summary

Imagine Pediatrics is a pediatrician-led medical group focused on creating a world where every child with complex medical conditions gets the care they deserve through virtual-first care services. The Coding Compliance Auditor will partner with medical and coding staff to ensure accurate and timely coding for this first-of-its-kind pediatric risk bearing provider, following appropriate guidelines and regulations.

Requirements

• 3-5+ years of medical coding and auditing experience preferably in a high-growth environment
• Knowledge of medical terminology, standard coding and reference publications, CPT, HCPC, ICD-9, ICD-10, DRG, etc
• Prior experience coding or auditing in a Medicaid environment
• Experience providing training and education to staff and clinicians
• Thorough understanding of HEDIS measures and E&M coding
• Bachelor’s degree in healthcare management or related field preferred
• Familiarity with EMR software (e.g., Athenahealth)
• CPC or CRC; and CPMA required

Responsibilities

• Partner cross functionally with medical and coding staff to ensure accurate and timely coding
• Review pediatric-based Medicaid records and documentation to ensure accurate and complete coding
• Build, implement, and maintain auditing processes
• Collaborate and consult with internal clinical leadership on chart assessments
• Review audit findings with physicians and coding staff
• Perform follow-up audits to ensure remediation of findings
• Prepare written reports of findings to the Chief Compliance Officer

Benefits

Work in a remote-first, high-growth company environment