Physician Compliance Auditor

As a Physician Compliance Auditor at TEKsystems, your responsibilities will include conducting clinical reviews of medical records and documentation, evaluating coding accuracy and medical necessity, and leading compliance audits. You will also be responsible for assessing educational needs of physicians regarding coding, developing training materials, and serving as a primary resource for documentation and coding issues, all aimed at maintaining compliance with clinical billing standards.

To become a Physician Compliance Auditor at TEKsystems, a Bachelor’s or Associate’s Degree is preferred, along with experience in medical coding and compliance auditing. Strong communication and organization skills are essential, as well as proficiency in tools such as PowerPoint. Familiarity with AAPC or AHIMA certifications can also enhance your candidacy, ensuring you are well-prepared for the challenges of the role.

TEKsystems is committed to the professional development of its employees, offering tuition reimbursement of up to $5,250 per year. As a Physician Compliance Auditor, you will have access to continuous learning opportunities, Epic training, and leadership development programs, ensuring that you stay at the forefront of industry standards and practices.

TEKsystems offers an extensive benefits package for its Physician Compliance Auditors, which includes medical, dental, and vision insurance for employees and dependents, life and disability insurance, and flexible spending accounts. Employees also enjoy work-life balance through paid vacation, sick leave, and recognition programs, as well as a 401K retirement plan with company matching up to 4 percent.

As a Physician Compliance Auditor at TEKsystems, you can expect a hybrid work environment based in Atlanta, GA, allowing for flexibility. You will collaborate with a dynamic team passionate about healthcare compliance, in a culture that fosters innovation, equality, and ongoing professional growth.

To ensure compliance with coding and documentation standards, I regularly review medical records for accuracy and relevance while staying updated on the latest regulations and guidelines. I also believe in maintaining strong communication with physicians to address any potential issues proactively.

In a previous role, I faced a significant coding discrepancy that initiated a compliance audit. I meticulously gathered data, engaged stakeholders for insights, and conducted training sessions to rectify the misunderstanding. This experience highlighted the importance of thorough audits and ongoing education.

I utilize a systematic approach for conducting compliance audits, which includes a detailed checklist based on regulatory standards. I also employ data analysis to identify trends and areas requiring improvement, ensuring a comprehensive audit process.

I implement hands-on training sessions alongside accessible learning materials and presentations tailored to specific needs. I find that fostering an interactive learning environment encourages physicians to ask questions and engage with the material more effectively.

I advocate for establishing a robust compliance monitoring process, utilizing regular audits and timely feedback sessions to address issues. Collaborating with cross-functional teams also helps share ownership of compliance, leading to a more committed adherence to standards.

I have had success with tools like Epic and various coding software that streamline documentation and coding processes. Utilizing software that integrates with existing systems enhances accuracy and efficiency during audits.

When conflicts arise regarding coding discrepancies, I prioritize open communication and a collaborative approach, addressing the concerns respectfully and seeking to understand each party’s perspective. This promotes resolution while reinforcing trust and accountability.

A successful Physician Compliance Auditor must possess strong analytical skills, attention to detail, an in-depth understanding of coding regulations, and excellent communication abilities. Being proactive and adaptable is also crucial in navigating the dynamic healthcare landscape.

Throughout my career, I have gained comprehensive experience with medical billing practices, including understanding various billing codes and their applicability. I ensure that my knowledge remains current through continuous training and involvement in industry forums.

I am drawn to TEKsystems for its commitment to innovation and collaboration in transforming the healthcare industry. I admire your values around professional development and am excited about the opportunity to contribute to your mission while growing alongside an impressive team.