• Arizona Community Physicians
  • $168,605.00 -168,605.00/year*
  • Tucson, AZ
  • Healthcare - Physician
  • Full-Time
  • 1109 W Prince Rd

position filled body

Check out similar listings!

Loading some great jobs for you...




Looking for a great opportunity in healthcare compliance administration?

Arizona Community Physicians is a successful physician owned medical group and we are seeking a talented Senior Compliance Specialist to join our Compliance team. We are looking to find a professional with experience in outpatient primary care who can contribute in growing our Compliance program.
We have a small Compliance team, a casual work environment, high standards and opportunity for the right person! Successful candidates will have strong aptitude and skills in exercising good judgment, critical thinking and building relationships across the organization.
This is a hands on administrative role that manages and performs a variety of compliance responsibilities.
Our Senior Compliance Specialist is an important part of our Compliance service delivery team in which we strive every day to bring valued service to our employees and patients.

Responsibilities include but are not limited to:

As an individual and as part of a team, the Senior Compliance Specialist is an active contributor in the continuous development of our Compliance services.
This includes contributing ideas in how we can be more efficient and effective and performing well in the duties assigned.

The Senior Compliance Specialist performs responsibilities in support of ACP's compliance program.
Assists the Compliance Director in assessing risk by performing internal chart reviews of coding and documentation of all clinical providers, as well as risk areas identified by third party payers and/or identified in the OIG's Work Plan.
Performs in a professional manner, exercising good judgment and ethical standards. Interacts effectively and builds respectful working relationships across the organization. Demonstrates integrity by adhering to high standards of personal and professional conduct. Must be reliable and have the ability to maintain a high level of confidentiality within all aspects of job performance.

Responsibilities

  • Conducts and coordinates compliance reports of medical chart reviews of documentation supporting ICD-10-CM and CPT-4 coding assignments
  • Prepares written reports of review findings and recommends corrective actions in alignment with relevant company, third party payer, and regulatory requirements
  • Maintains excellent documentation of all reviews, methodologies employed, results and corrective actions implemented and monitored
  • Assists in focused review projects including data analysis, reporting and corrective action identification and roll-out
  • Works in coordination with the Coding Unit to develop documentation templates
  • Provides input regarding specialized compliance training and education materials and programs
  • Provides education to physicians and coding staff related to coding practices
  • Facilitates and supports a culture of compliance, ethics and integrity
  • Maintains knowledge of policies and procedures and performs in accordance with the ACP's policies and procedures, applicable regulatory requirements, external laws and accreditation standards
  • Maintains professional certifications
  • Travel to office locations will be required (office locations span from Oro Valley to Green Valley and across Tucson)
  • May perform other duties as assigned

Skills/ Requirements

Qualifications:

Required: A minimum of 5 years' experience coding outpatient primary care and medical specialty Evaluation/Management (E/M) services, Procedures, and Ancillary Outpatient Services, commonly performed in outpatient settings.

Must have AAPC or AHIMA professional services coding certification with a minimum 2-year healthcare related degree (e.g., nursing), or RHIT/RHIA.

Must have a thorough understanding of ICD-10-CM and CPT-4 Coding proficiency, with experience in coding and auditing outpatient encounters and providing professional constructive feedback in regard to billing, coding, and documentation practices.

Must have exceptional attention to detail, excellent communication skills and proficiency in Microsoft Word, Excel, Access and PowerPoint.

Preferred: Healthcare Compliance, HIPAA Privacy, Risk Management and/or Heath Information Management experience.

Arizona Daily Star.
Category: , Keywords: Medical Coding Coordinator
Associated topics: bilingual, care, family, family medicine, hospitalist, nocturnist, physician, physician md do, primary, urgent

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

Launch your career - Upload your resume now!