Mountain Management Services
Location
Chattanooga, TN | United States
Job description
Overview
CHI Memorial Mountain Management
CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.
We care about our employees’ well-being and offer benefits that complement work/life balance.
We offer the following benefits to support you and your family:
Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs
Employee Assistance Program (EAP) for you and your family
Health/Dental/Vision Insurance
Flexible spending accounts
Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
Adoption Assistance
Paid Time Off (PTO)
Tuition Assistance for career growth and development
Matching Retirement Programs
Wellness Program
If you are passionate about the patient experience and ready to join our nationally recognized hospital, connect with us today!
ResponsibilitiesThe Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an emphasis on documentation, coding improvement, and revenue capture. Provides education to clinicians, clinic staff, and others as needed via face-to-face meetings, classroom settings, webinars, and online modules. Develops, maintains and presents coding and compliance educational materials to staff and clinicians. Collaborates with the coding team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category (HCC) Quality program was developed by CMS to promote quality care for Medical Advantage members. By focusing on comprehensive documentation to identify, evaluate and assess chronic conditions at the appropriate specificity, patient medical needs are met at the highest level. The Sr Coding Compliance Auditor ’s primary focus will be to facilitate and ensure the comprehensive capture of chronic conditions for the purpose of accurately reporting HCC’s. Prospective and concurrent reviews will account for 70% of the workload with the other portion of time focused on provider communication, and claims denial resolutions. Communicates denial trends to leadership and works with practice managers to resolve these trends. The position will create and develop sustainable workflows as this will be a new area of focus. Additionally the role will assist with educating providers on quality opportunities as well. Clinical background preferred but not required.
Required Education
Associate Degree preferred.
Required Licensure and Certifications
Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist Physician Based (CCS-P)
or the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required.
Professional Medical Auditor Certification (CPMA) (CMAS)-preferred but not required.
CRC Certification preferred or must be obtained within the first year.
Prefer RN, LPN, or CMA state of TN/GA but not required.
Job tags
Salary