The Compliance Program Manager-Auditor & Educator conducts independent internal auditing and monitoring of coding and billing for inpatient, outpatient and provider services. Performs medical record focused audits. Develops and implements provider compliance education and training program. Analyzes medical records to assess the adequacy of medical record documentation to support the services billed in accordance with professional fee coding and billing guidelines. Develops and delivers education and training programs for providers on coding and documentation practices. Serves as a resource for answering medical coding compliance and billing inquiries.
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