The Coding Quality Manager is responsible for developing and implementing coding audit monitoring and education activities for providers and coders, in support of the organization’s adherence to applicable CMS requirements, official coding guidelines, government regulations and internal policies. Manages and directs a team of Coding Audit Educators. Serves in an advisory capacity to leadership and physicians as it relates to documentation, coding, and regulatory compliance.

Key Responsibilities:

• Develops and oversees the ongoing coding quality audit program for provider services encounters.
• Identifies high-risk areas, plans, and executes audit monitoring activities to evaluate compliance with laws, regulations, policy and procedures, coding and billing standards, etc.
• Creates and implements standardized audit monitoring methodology and oversees team’s adherence to goals and scheduled audits.
• Develo...