WE OFFER A COMPETITIVE COMPENSATION PACKAGE WITH SALARY BASED ON EDUCATION AND EXPERIENCE. THIS COMPREHENSIVE BENEFIT PACKAGE INCLUDES: HEALTH, DENTAL, VISION, DISABILITY AND LIFE INSURANCE. BENEFITS ALSO INCLUDE 18 DAYS PAID TIME OFF, 10.5 PAID HOLIDAYS ANNUALLY, A PAID RETIREMENT PLAN WITH AN EMPLOYER MATCHING PROGRAM AND MORE.

JOB SUMMARY: Under supervision of the Director of Coding and Compliance, the Compliance Auditor and Educator will participate in the performance of medical record audits of all of ETSU’s College of Medicine Departments involved with billing third-party payers. The Compliance Auditor will also serve as an educator for physicians, residents, and billing/coding staff regarding coding and documentation requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Perform annual audits of documentation of inpatient and office medical records by physicians, residents, nurse practitioners and other providers.
• Educate the physicians, residents, nurse practitioners and other providers of coding and documentation issues based on the audits.
• Report audit results to the Associate Dean, Compliance Committee, and Board of Directors as appropriate.
• Provide coding and documentation guidelines to the physicians, residents, nurse practitioners, and billing employees as needed.
• Provide an orientation to all new hire physicians on the compliance plan and policies, teaching physician guidelines, as well as conduct an initial audit on billing within first 90 days of a new provider.
• Research problem areas and provide solutions related to coding and payer requirements.

EDUCATION AND/OR EXPERIENCE: Knowledge of CPT, ICD-10-CM and HCPCS coding systems and guidelines. Basic knowledge of HIPAA guidelines necessary. Experience in an academic and/or multi-specialty environment. Knowledge of medical terminology, physician billing, third-party regulations and auditing procedures. High school diploma or GED required. CPC or CCS required, plus 3 years of coding and billing experience. CPMA is preferred; this certification would be required to obtain within 6 months of employment. Bachelor’s degree and/or previous auditing experience preferred but not required.
Applicants should apply online at https://etsuhealth.org/employment

• Perform annual audits of documentation of inpatient and office medical records by physicians, residents, nurse practitioners and other providers.
• Educate the physicians, residents, nurse practitioners and other providers of coding and documentation issues based on the audits.
• Report audit results to the Associate Dean, Compliance Committee, and Board of Directors as appropriate.
• Provide coding and documentation guidelines to the physicians, residents, nurse practitioners, and billing employees as needed.
• Provide an orientation to all new hire physicians on the compliance plan and policies, teaching physician guidelines, as well as conduct an initial audit on billing within first 90 days of a new provider.
• Research problem areas and provide solutions related to coding and payer requirements