With over 120 offices and nearly 7,000 associates throughout the U.S. CBIZ (NYSE: CBZ) delivers top-level financial and employee business services to organizations of all sizes, as well as individual clients, by providing national-caliber expertise combined with highly personalized service delivered at the local level.

CBIZ is honored to be the recipient of several national recognitions for 2023:

• Best and Brightest Companies to Work for in the Nation
• Top Workplaces USA
• Top Workplaces - Financial Services Industry
• Best and Brightest Companies in Wellness
• Great Place to Work Certification

CBIZ KA Consulting Services, LLC (CBIZ), a leader in providing customized financial solutions to healthcare providers, is expanding its credentialed staff to perform coding support and review.

Job Description

CBIZ is seeking a skilled and experienced Professional Auditor/Consultant to join our team. The ideal candidate will possess in-depth knowledge of physician medical coding and billing processes. They will be responsible for conducting audits, including evaluation and management (E/M), to ensure compliance with coding guidelines, documentation requirements, and regulatory standards.

• Conduct audits of medical records, claims, and billing processes to ensure accuracy, completeness, and compliance with coding guidelines and regulatory requirements, including evaluation and management (E/M) code audits.
• Review documentation to determine appropriate code assignment based on diagnosis, procedures, and services rendered.
• Analyze coding and billing trends to identify potential areas of risk or non-compliance.
• Provide education and training to coding and billing staff on coding guidelines, documentation requirements, and regulatory changes.
• Collaborate with cross-functional teams to develop and implement corrective actions to address audit findings and improve performance.
• Serve as a subject matter expert on coding and documentation issues, providing guidance and support to physicians, clinicians, and other stakeholders as needed.

Preferred Qualifications

• Current certification in medical coding (e.g., CPMA, CPC, CCS, CCS-P) required.
• 2+ years' experience in medical coding and billing, preferably in a healthcare setting.
• Be able to work in a team environment.
• Excellent verbal, written and communication skills.
• Extensive knowledge of ICD-10-CM and CPT coding conventions, anatomy and physiology, and medical terminology is a plus.
• Excellent knowledge of Medicare, Medicaid, and third-party payer regulations and reimbursement methodologies.
• Experience in conducting professional audits, including evaluation and management (E/M), and the ability to analyze coding and billing data.
• Proficiency in using coding software and electronic health record (EHR) systems.
• Strong analytical, critical thinking, and problem-solving skills.
• Effective communication and interpersonal skills, with the ability to collaborate and communicate complex coding and billing concepts to diverse audiences.
• Detail-oriented with a commitment to accuracy and compliance.
• Be reliable, self-directed, self-motivated, and able to work in a fast-paced environment.

Minimum Qualifications

• High School Diploma or GED
• 1 year of relevant experience
• Must be able to work in a team environment
• Demonstrated ability to communicate verbally and in writing throughout all levels of organization, both internally and externally
• Proficient use of applicable technology
• Must be able to travel based on client and business needs

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