Physician Audit And Education Manager

Summary

Join MedKoder, LLC as their Audit and Education Manager! This full-time, remote position offers a flexible schedule and the opportunity to lead and maintain the Auditing and Education team. You will oversee daily operations, manage staff, analyze data, and ensure goals align with organizational objectives. As a client advocate, you'll ensure services meet contract terms and evolving needs. The ideal candidate possesses recent auditing and education experience, client-facing skills, and presentation experience. MedKoder offers a supportive environment with professional development opportunities and excellent benefits.

Requirements

• High School diploma required
• Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing
• Successful completion of the AAPC CPMA credential is required; preferably a combination of two or more credentials
• Minimum 8 years of recent physician coding experience and 5 years of recent physician auditing experience are required
• Experience educating providers one-on-one or in group settings
• Experience creating and implementing audit plans
• Demonstrated ability to take the lead with client engagements and develop new and existing business
• Must have a professional demeanor and exceptional communication skills (verbal and written), and be able to communicate confidently with large groups and stakeholders
• Must be a subject matter expert on E&M and Surgical coding. Must have expert knowledge of medical terminology, anatomy and physiology, disease processes, CPT coding and guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional services
• Experience working independently, excellent time management, masterful research and organizational skills, the ability to switch between multiple projects, and the ability to meet project deadlines are a must
• Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and healthcare information and billing systems

Responsibilities

• Manage a team of auditors/educators ensuring adequate staffing levels, quality and productivity reviews, and conducting performance evaluations
• Develop and maintain audit and education schedules, workflows, and trackers
• Meet with clients to plan audits and provide education on audit results regarding accurate coding and best practices
• Attend meetings and deliver presentations to providers, clients, and company executives
• Communicate client goals and requirements to the team to ensure proper execution
• Regularly review client project goal templates and address concerns with proactive communication
• Ensure project deliverables adhere to internal quality standards
• Develop and deliver coding training programs for staff and clients
• Provide ongoing education to team and clients on coding updates, compliance issues, and best practices
• Address individual errors through targeted coaching
• Conduct professional audits across multiple specialties and settings, including E&M and surgical cases
• Conduct regular meetings with the Coding Director and Team Leads
• Collaborate with the Coding Director to identify opportunities for efficiencies
• Collaborate with the Business Development team to support client growth and retention, as well as onboarding new clients. This includes strategic planning that aligns with our clients’ mission and vision, to include compliant strategies for improving revenue
• Stay updated on coding guidelines and changes (ICD-10-CM, CPT, HCPCS, AMA, CMS, AHA Coding Clinics, HHS/OIG)
• Ensure coding compliance with industry standards and payer requirements
• Address discrepancies and adherence to Local Coverage Determination (LCDs) and National Coverage Determination (NCDs)
• Generate reports on compliance metrics and audit findings
• Analyze data trends and implement corrective actions
• Provide customized reports and summaries to leadership as needed
• Collaborate with Coding Managers and support clients with coding needs as required
• Complete other duties assigned by leadership

Preferred Qualifications

• Associate or BS degree in the healthcare field preferred
• Minimum 3 years of management or supervisory experience in this field preferred
• Experience working with Google Workspace is preferred but not required
• Experience working remotely is preferred but not required
• Experience with auditing specialties for Ophthalmology, Behavioral Health, Cardiology (CV/CT Surgery), Complex ENT Surgery, Dental, Complex Plastic Surgery, Orthopedic Surgery, NICU/PICU, and FQHCs/RHCs a PLUS

Benefits

• Generous paid time off, holiday pay, and flexible scheduling year-round
• Up to 100% EMPLOYER PAID Medical, Dental, and Vision benefits for employees
• 401K and Profit Sharing
• STD, LTD, Life Insurance, and FSA Program
• Paid AAPC and AHIMA corporate memberships
• 30 Hours of CEU pay (continuance in education)
• Professional development and education