Location: New Haven, CT
Cap-Exempt H-1B Position — No lottery required
Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! **Overview** Coordinate and conduct medical billing audits for the Yale Medicine Administration. Evaluate medical billing, coding and documentation for 18 clinical departments under the direction of the Compliance Officer. Provide training and feedback to physicians and departmental personnel who have responsibilities with billing activities. This opportunity is currently remote (work from home, in or outside CT) for a position located in CT. CPC required. If the candidate does not currently hold a CPC certification, it is expected to be obtained within 6 months to 1 year after hire. **Required Skills and Abilities** 1. Demonstrated knowledge of ICD-10 and CPT-4 coding and billing practices. 2. Ability to interpret operative and procedural reports. 3. Well-developed oral and written communication skills. 4. Strong attention to detail with the ability to analyze data. 5. Proficient in Microsoft Word, Excel, and Access. **Preferred Skills and Abilities** 1. CPC credentials preferred. 2. Computer skills including Epic, WEBI, Word, Excel, and Access. 3. Proven experience in healthcare auditing, Medicare and Medicaid, or related clinical field. **Principal Responsibilities** 1. Primary responsibility is to complete audits of departmental compliance chart reviews and to participate in audits requested by third party payors. 2. Assess provider documentation for IDC-10 and CPT-4 coding accuracy, compliance with University and government regulations. 3. Obtain and review charge documents, encounter forms, medical records and billing procedures. 4. Evaluate results, identify system control weaknesses and in conjunction with department manag