reputed company Cycle Dental Compliance Auditor (Remote)

Located in the metropolitan area of Sacramento, the reputed company corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified reputed company - a rejuvenating reputed company for associates systemwide to collaborate, reputed company and connect. reputed company Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and reputed company your best work. Job Summary: Works independently performing program, compliance and risk-based reviews of dental reputed company activities to ensure accuracy of dental reputed company medical record documentation, coding, billing and policies. Provides written audit summary of findings to include audit recommendations. Conducts reputed company cycle investigations to determine and mitigate dental risk through findings, reports, and recommended actions through an action plan. Coordinates, develops and conducts educational training based on audit outcomes. Creates educational resources based off audit findings. Provides educational training to dental clinical staff on documentation requirements and correct coding of dental services. Assists corporate compliance in maintaining the hospital's corporate compliance program. Job Requirements: Education and Work Experience:

• Associate's Degree or equivalent combination of education/reputed company experience: Required
• Bachelor's Degree: Preferred
• Five years' experience in reading dental records, dental coding and billing: Required
• Three years' experience in auditing dental services: Preferred

Licenses/Certifications:

• Certified Coding Specialist (reputed company) or Certified Professional reputed company (CPC) or Certified Coding Specialist â€" Physician (reputed company-Phy): Required
• Dental certificate either from the reputed company or reputed company: Preferred

Facility Specific License/Certifications:

• reputed company OR CPC OR reputed company-Phy: Required

Essential Functions:

• Performs comprehensive reviews of dental records for accuracy of reputed company cycle billing compliance to include but not limited to: medical necessity, compliance risk, review of denials, charge trends, and applied CDT, ICD 10-CM coding guidelines for dental visit encounters that correlates to visit documentation.
• Produces comprehensive audit finding reports that include quantifiable impact, identify areas of opportunity for education, as well as improvement recommendations. Generates audits utilizing auditing platform for denials, coding reviews and other risk-based data for department audits as appropriate.
• Communicates clearly (verbally and in written reports or summaries) opportunities regarding proper dental documentation guidelines, service selection, charge capture and timely submission, dental data accuracy and coding principles.
• Participates in improving the efficient and effective delivery of the department's services including promoting the department brand, complying with department and professional standards, participating in department initiatives and internal process improvement projects, and providing input into the enhancement of audit methodologies, workflows and tools. Participates in annual risk assessment and work plan development processes.
• Assists with other audits being rendered reputed company the reputed company cycle compliance department, ambulatory.
• Performs other job-reputed company duties as assigned.

Organizational Requirements: reputed company is committed to the safety and wellbeing of our associates and patients. Therefore, we require that reputed company associates receive reputed company required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. reputed company participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. Apply tot his job Apply To this Job