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Billing & Coding Compliance Analyst
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Full-time
- General Description: Under general direction of the Billing Compliance Director, this position is responsible for the identification, review, investigation and resolution of billing and coding compliance issues and patient complaints.
- This position is also responsible for chart auditing, report composition and reporting that clearly outline key performance indicators and provide educational feedback to those providers/service areas who are not in compliance with regulated billing and coding practices.
- OIG and physician billing compliance workplan items
- Charge capture and validation (clinic and procedural)
- Clinical Research billing validation - Ensuring that claims submitted to Medicare have the appropriate modifiers appended.
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