Know ATS Score
CV/Résumé Score
  • Expertini Resume Scoring: Our Semantic Matching Algorithm evaluates your CV/Résumé before you apply for this job role: Senior Coding Compliance Specialist (Medical Coding).
United States Jobs Expertini

Urgent! Senior Coding Compliance Specialist (Medical Coding) Job Opening In Burlingame – Now Hiring Sound Physicians

Senior Coding Compliance Specialist (Medical Coding)



Job description

ABOUT SOUND


Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states.

Founded in 2001, and with specialties in emergency and hospital medicine, critical care, anesthesia, and telemedicine, Sound has a reputation for innovating and leading through an ever-changing healthcare landscape — with patients at the center of the universe.

Sound Physicians offers a competitive benefits package inclusive of the items below, and more: 

  • Medical insurance, Dental insurance, and Vision insurance 

  • Health care and dependent care flexible spending accounts 

  • 401(k) retirement savings plan with a company match 

  • Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy

  • Ten company-paid holidays per year

  • ABOUT THE ROLE


    Under the direction of the Director of Coding Compliance and the Manager of Coding Compliance, the Senior Compliance Specialist will coordinate and support compliance functions and activities in support of enabling providers to comply with all applicable billing and privacy compliance regulations.

    The Senior Coding Compliance Specialist is responsible for conducting retrospective compliance reviews of documentation supporting codes assigned by practitioners to ensure accuracy in billing and compliance with Federal, State, payer, and institutional requirements.


    The Senior Coding Compliance Specialist serves as the compliance lead and works cooperatively with clinical leadership.

    Through the review process, the Senior Coding Compliance Specialist also identifies opportunities to improve coding practices and related business processes or issues needing further review, assessment, and follow- up.


    The Senior Coding Compliance Specialist contributes to compliance program development by maintaining data for program reports, participating in the development
    and/or delivery of educational and outreach materials, and maintaining program records.

    The Senior Coding Compliance Specialist will maintain current knowledge of applicable laws and regulations and may contribute to the unit’s risk assessments and risk mitigation strategies.


    The Senior Coding Compliance Specialist functions as part of a unit team to accomplish unit goals and works cooperatively with other compliance staff and entity staff as needed to resolve shared issues and concerns.

    In addition, he or she may participate in committees, work groups, or process improvement projects as assigned.

    ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Perform complex coding and documentation compliance reviews of Sound Inpatient Physicians, Post-Acute Care, and Telemedicine settings using applicable rules, regulations, and coding conventions for billing to determine the accuracy of coded and billed services, including APP services where applicable.

  • Conduct special reviews based on risk assessment activities, external or government audits, or in response to an inquiry or identified potential concern.

    Assess data and formulate recommendations to mitigate or resolve identified issues.

  • Obtain, organize, and format billing and other data captured through the review
    process.

    Prepare clear, concise written reports related to the special review findings for internal and external reporting purposes; calculate refunds using a variety of
    methods, including extrapolation.

  • Perform follow-up reviews to determine the status of implemented
    recommendations, efficacy of coding and documentation education as well as compliance with regulatory guidelines and internal policies.

  • Report and review audit findings with the Manager of Coding Compliance on a regular basis to identify trends, issues, and potential risk areas.

    Inform management of issues or concerns identified with coding practices of faculty or coding staff.

  • Serve as a knowledge resource for coding and documentation standards.

    Respond to billing and coding questions related to reviewing findings from providers.

  • Maintain effective and collaborative relationships with providers, administrative and revenue support staff.

  • Maintain awareness of healthcare billing processes implemented in the organization.

  • Maintain awareness of current compliance issues and coding initiatives through self-study and participation in professional educational conferences.

    Maintain coding expertise in assigned areas.

  • Support institutional compliance efforts by maintaining privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting concerns, and adhering to applicable laws, regulations and institutional policies and procedures.

  • Perform other duties, as assigned.

  • Communicate directly with site leadership, Sound leadership, and participating providers to answer questions related to audited encounters and CPT coding and billing services.

  • Adhere to all company policies and procedures.

  • Always represent Sound Physicians confidentially and professionally.

  • Immediately report regulatory compliance issues, or concerns to the Director of Coding Compliance and/or the Manager of Coding Compliance.

  • Maintain strict confidentiality of all information obtained from any source in accordance with privacy and disclosure laws and Sound Physicians policies.

  • Consistently demonstrate integrity, initiative, and team-building support.
  • VALUES

  • Detail-Oriented: Delivers consistent and accurate work, particularly when handling sensitive employee data and documentation.

  • Responsive: Prioritizes timely communication and follow-up; understands the urgency behind employee requests.

  • Solution-Seeker: Uses sound judgment to address issues independently when possible, escalating only when necessary.

  • Collaborative: Partners effectively with other members of People Operations to ensure aligned and comprehensive support.

  • Empathetic: Balances professionalism with compassion in employee interactions, particularly during offboarding moments

  • Continuously Improving: Embraces change and new technology; seeks ways to automate, simplify, and optimize workflows through tools, systems, and AI
  • KNOWLEDGE, SKILLS AND ABILITIES

  • Extensive knowledge of 2023 E/M Documentation Guidelines ICD-10 CM, CPT and HCPCS coding principles and guidelines.

  • Knowledge of federal and state regulations related to documentation, coding, and billing.

  • Knowledge of CMS, Medicaid, and Medicare Advantage.

  • Ability to evaluate current workflows and processes with a critical eye and develop proposals for improvement.

  • Ability to interpret physicians’ documentation and identify/extract billable services from medical records.

  • Successful experience working both independently and as a team.

  • Demonstrated ability to establish positive and courteous working relationships, effectively manage competing priorities, apply critical thinking skills, and accurately complete highly detailed work.

  • Ability to work within a complex environment and leverage resources to meet the needs of clients, customers, and coworkers.

  • Demonstrated ability to communicate effectively orally and in writing with all levels of management and medical staff.

  • Ability to understand and analyze system connections and impacts, both internal and external, for a large healthcare organization.

  • Ability to utilize root-cause analysis to make process improvement decisions and implement change.

  • Consistent exercise of discretion and judgment.

  • Documented initiative to further one’s coding skills via coding-related continuing education, professional association participation, or other similar activities.

  • Excellent oral and interpersonal communication skills, with the ability to convey a positive and professional image in person, and to interact effectively with diverse personalities and backgrounds.

  • Must be highly organized, detail oriented, and able to manage multiple competing priorities with a high degree of speed and accuracy.

  • Proficiency with Windows-based software and Microsoft Office Suite products in a network environment.

  • EDUCATION AND EXPERIENCE

  •  Bachelor’s degree in a health sciences discipline, business, or related field desired or equivalent experience.

  • A current coding credential from AHIMA and/or AAPC.

  • Minimum of five years' experience with Critical Care, Acute Rehab Facility, Nursing Facility, Telemedicine, and Post-Acute Care billing, coding operations, and compliance
  • SALARY RANGE

    Sound Physicians is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce.

    Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws.

    This job description reflects the present requirements of the position.

    As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.


    Required Skill Profession

    Computer Occupations



    Your Complete Job Search Toolkit

    ✨ Smart • Intelligent • Private • Secure

    Start Using Our Tools

    Join thousands of professionals who've advanced their careers with our platform

    Rate or Report This Job
    If you feel this job is inaccurate or spam kindly report to us using below form.
    Please Note: This is NOT a job application form.


      Unlock Your Senior Coding Potential: Insight & Career Growth Guide


    • Real-time Senior Coding Jobs Trends in Burlingame, United States (Graphical Representation)

      Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Senior Coding in Burlingame, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 185941 jobs in United States and 16 jobs in Burlingame. This comprehensive analysis highlights market share and opportunities for professionals in Senior Coding roles. These dynamic trends provide a better understanding of the job market landscape in these regions.

    • Are You Looking for Senior Coding Compliance Specialist (Medical Coding) Job?

      Great news! is currently hiring and seeking a Senior Coding Compliance Specialist (Medical Coding) to join their team. Feel free to download the job details.

      Wait no longer! Are you also interested in exploring similar jobs? Search now: .

    • The Work Culture

      An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Sound Physicians adheres to the cultural norms as outlined by Expertini.

      The fundamental ethical values are:
      • 1. Independence
      • 2. Loyalty
      • 3. Impartiality
      • 4. Integrity
      • 5. Accountability
      • 6. Respect for human rights
      • 7. Obeying United States laws and regulations
    • What Is the Average Salary Range for Senior Coding Compliance Specialist (Medical Coding) Positions?

      The average salary range for a varies, but the pay scale is rated "Standard" in Burlingame. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

    • What Are the Key Qualifications for Senior Coding Compliance Specialist (Medical Coding)?

      Key qualifications for Senior Coding Compliance Specialist (Medical Coding) typically include Computer Occupations and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.

    • How Can I Improve My Chances of Getting Hired for Senior Coding Compliance Specialist (Medical Coding)?

      To improve your chances of getting hired for Senior Coding Compliance Specialist (Medical Coding), consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

    • Interview Tips for Senior Coding Compliance Specialist (Medical Coding) Job Success
      Sound Physicians interview tips for Senior Coding Compliance Specialist (Medical Coding)

      Here are some tips to help you prepare for and ace your job interview:

      Before the Interview:
      • Research: Learn about the Sound Physicians's mission, values, products, and the specific job requirements and get further information about
      • Other Openings
      • Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.
      • Dress Professionally: Choose attire appropriate for the company culture.
      • Prepare Questions: Show your interest by having thoughtful questions for the interviewer.
      • Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.
      During the Interview:
      • Be Punctual: Arrive on time to demonstrate professionalism and respect.
      • Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.
      • Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.
      • Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.
      • Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.
      • Follow Up: Send a thank-you email to the interviewer within 24 hours.
      Additional Tips:
      • Be Yourself: Let your personality shine through while maintaining professionalism.
      • Be Honest: Don't exaggerate your skills or experience.
      • Be Positive: Focus on your strengths and accomplishments.
      • Body Language: Maintain good posture, avoid fidgeting, and make eye contact.
      • Turn Off Phone: Avoid distractions during the interview.
      Final Thought:

      To prepare for your Senior Coding Compliance Specialist (Medical Coding) interview at Sound Physicians, research the company, understand the job requirements, and practice common interview questions.

      Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Sound Physicians's products or services and be prepared to discuss how you can contribute to their success.

      By following these tips, you can increase your chances of making a positive impression and landing the job!

    • How to Set Up Job Alerts for Senior Coding Compliance Specialist (Medical Coding) Positions

      Setting up job alerts for Senior Coding Compliance Specialist (Medical Coding) is easy with United States Jobs Expertini. Simply visit our job alerts page here, enter your preferred job title and location, and choose how often you want to receive notifications. You'll get the latest job openings sent directly to your email for FREE!