Compliance Specialist I (2815) - Administration

Tidewater Physicians Multispecialty Group is actively seeking a Compliance Specialist to work out of our Administration office in Newport News. Tidewater Physicians Multispecialty Group (TPMG) is comprised of over 200 physicians and advanced practice clinicians and is the largest physician-owned groups in Tidewater. The schedule is full-time work hours, Monday through Friday.

Position Summary

A Compliance Specialist I audits medical record documentation to identify under coded and up coded services; prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues. Interacts with providers and management to review and/or implement codes and to update charge documents.

Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services. Major Duties and Responsibilities Responsible for auditing medical records documentation. Responsible for running reports needed to research and analyze data. Access records from Electronic Health Records (EHR) system.

Ensure coding is in compliance with current Medicare guidelines with Current Procedural Terminology (CPT) and diagnosis codes. Ensure the integrity and accuracy of the documentation in the clinical record, public speaking, report findings and one-on-one communication with physicians, clinical and office staff. Other duties as assigned.

Knowledge, Skills and Abilities Knowledge of ICD-10 coding. Knowledge of computer systems (e.g., Excel, Word and PowerPoint). Ability to work scheduled hours as defined in the job offer. Ability to read and understand oral and written instructions and follow written protocols. Ability to examine documents for accuracy and completeness.

Ability to use office equipment (e.g., calculator, copier, fax, etc.) Ability to provide excellent customer service. Skill in presenting information in an organized manner. Skill in verbal and written communication.

Education

/ Training / Requirements Associates Degree or equivalent. Up to 5 years related experience. CPC, COC OR RHIT certification. Come join the team! TPMG is an equal opportunity employer committed to a diverse and inclusive workforce.