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Medical Compliance Administrator (CPC-A)

ENT and Allergy Associates, New York & New Jersey's premier ENT and Allergy medical practice, is seeking a self-motivated,  people-friendly full time Compliance Administrator for our Corporate office.

 

Under the direct supervision of the Director of Regulatory Affairs, the Compliance Administrator will assist in the evaluation of ENT and Allergy Associates’ (“ENTA”) medical records and claims submissions to ensure completeness, accuracy, and compliance with applicable federal and state regulations and guidelines. This individual will also assist with the day-to-day operations of the Compliance Department.  

The Coding Specialist must have fundamental knowledge of third party billing procedures and familiarity with CPT, ICD-10 and HCPCS coding for a physician group- experience in ENT and/or Allergy specialties, a plus. Must also be familiar with Evaluation and Management (E&M) coding and CMS’ 1995 and 1997 E&M Guidelines.​ 

Responsibilities & Key Tasks

Compliance

  • Assist in the organization of the day-to-day operations of the compliance program and its activities.
  • Assist in the monitoring, and as necessary, coordination of compliance activities, to remain abreast of the status of all compliance activities and to identify trends.

Audit

Assist in the preparation, organization and maintenance of Compliance Dept. responses to inquiries regarding compliance, inappropriate coding, denials, and billable services.

Assist in the auditing of medical record documentation to identify coding deficiencies of services billed; helps prepare reports of findings.

Assist in the performance of documentation analysis of external inquiries and compiles medical record collection/submission, and appealing findings.

Assist in the second-level review of billing to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.

 

Education

  • Assist in the preparation of educational material training/education sessions.
  • Qualifications
  • High School diploma or equivalent education.
  • Coding experience and knowledge in medical billing, a plus.
  • Coding certification (CPC-A, CPC, CCS, CCS-P, CPMA, CEMC or CENTC) preferred.
  • Proficient use of Microsoft Office (Excel, Word and PowerPoint) required.
  • Proficient verbal, written, organizational and interpersonal skills required.
  • Ability to organize and prioritize workload to manage multiple tasks and meet deadlines.
  • Occasional travel to ENTA’s clinical office locations may be required.
  • Performs miscellaneous job-related duties as assigned.

 

We offer a superior benefits package, including excellent medical and dental coverage. 

Please Note:  ENT and Allergy Associates is an E-Verify employer

 

Company Description:

ENT and Allergy Associates, LLP is the largest and most comprehensive ear, nose, throat, allergy and audiology practice in the nation with 40 offices and over 150 physicians. Each ENT and Allergy Associates clinical location provides access to a full complement of services, including General Adult and Pediatric ENT, Voice and Swallowing, Facial Plastics and Reconstructive Surgery, Disorders of the Inner Ear and Dizziness, Asthma, Clinical Immunology, Diagnostic Audiology, Hearing Aid dispensing, Sleep and CT Services. ENTA has a clinical alliance with The Mount Sinai Hospital for the treatment of diseases of the head and neck and esophageal cancer and a partnership with the American Cancer Society to educate and treat patients with smoking disorders and cancer. The Practice has also expanded its clinical capabilities to include advanced Immunodeficiency trials.

To learn more about the benefits of ENT and Allergy Associates, or to conveniently find an ENT doctor or Allergy Doctor and then easily book an appointment at the nearest New York or New Jersey location, please visit: www.entandallergy.com or contact us at:

ENT and Allergy Associates, LLP
560 White Plains Road, Suite 500
Tarrytown, NY 10591

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