Job: Regulatory Compliance Consultant

Location: UT-West Valley City
Facility: Revenue Cycle Organization


The purpose of this position is to perform auditing of charts in response to government Enforcement Response activities to ensure that accurate coding has been assigned according to official coding guidelines. This position is also responsible for contributing to the educational programs for Health Information Management (HIM) Coders and to assist with HIM Coding Services compliance functions.

Individual will exhibit application of a thorough understanding of the conventions, principals, and applications of the ICD-9-CM and CPT coding systems as well as their use in the designation of Medicare Severity adjusted DRGs (MS-DRGs) through a standard test given to all applicants. Individual will also be required to demonstrate the ability to function as an auditor by reviewing coded medical records and develop recommendations based on those findings, as well as the following:


Credentialing and certification as a CCS (Certified Coding Specialist) required. RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator) credentialing is preferred. Extensive knowledge of ICD-9-CM and CPT-4 coding principles and guidelines are required as well as extensive knowledge of MS-DRG, APC and other coding and grouping algorithms. Possesses leadership, analytical, and interpersonal skills. Excellent written and verbal communication skills along with a working knowledge of word processing and encoding systems. Experience working with 3M/HIS coding and abstracting systems is preferred.