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KPMG Senior Associate, Medical Coder Compliance in Dallas, Texas

Business Title: Senior Associate, Medical Coder Compliance

Requisition Number: 75219 - 84

Function: Advisory

Area of Interest:

State: TX

City: Dallas

Description:

Historically, the travel requirement for this position has ranged from 80-100%. The safety and well-being of our people continues to be the top priority, and our decisions around travel are informed by government COVID-19 response directives, recommendations from leading health authorities, and guidance from a number of infectious disease experts. For now, all KPMG business travel, international and domestic, is currently restricted to client-essential sales/delivery activity only. At some point in the future and with the safety of people as the critical factor, the travel requirement will likely increase, possibly to previous levels, but KPMG is committed to balancing client requirements with new delivery capabilities.

The KPMG Advisory practice is currently our fastest growing practice. We are seeing tremendous client demand, and looking forward we don't anticipate that slowing down. In this ever-changing market environment, our professionals must be adaptable and thrive in a collaborative, team-driven culture. At KPMG, our people are our number one priority. With a wealth of learning and career development opportunities, a world-class training facility and leading market tools, we make sure our people continue to grow both professionally and personally. If you're looking for a firm with a strong team connection where you can be your whole self, have an impact, advance your skills, deepen your experiences, and have the flexibility and access to constantly find new areas of inspiration and expand your capabilities, then consider a career in Advisory.

KPMG is currently seeking a Senior Specilaist to join our Advisory Services (https://advisory.kpmg.us/) practice.

Responsibilities:

  • Conduct compliance coding reviews of medical records and supporting documentation against submitted claims, for individual provider and facility claims, to determine coding and billing accurate for all services and/or specialties

  • Research and interpret coding guidelines and client抯 internal coding policies and procedures to verify claim coding accuracy

  • Serve as a coding resource and provide coding expertise and guidance to the broader Forensics team

  • Maintain an active coding certification(s) and remain current on regulatory and coding guidelines

  • Observe and report opportunities for documentation improvements

  • Identify documentation trends and topics for education/feedback

  • Ensure work product and related deliverables are performed in accordance with established standards and engagement requirements to meet client and firm expectation

  • Develop and sustain solid relationships with client personnel and demonstrate the ability to identify additional opportunities with existing clients; identify and communicate technical matters while serving as a liaison to both clients and engagement leadership; participate and/or lead meetings with both clients and the engagement team

Qualifications:

  • Minimum seven years of recent medical coding experience both inpatient and outpatient Certified after examination by a nationally recognized accrediting agency for medical coding (i.e., AHIMA or AAPC) and/or risk adjustment

  • Experience working with national guidelines such as CPT codes, ICD-10, HCPCS codes, POS codes, DRGs, APCs, and other code sets and the translation of written clinical information

  • Must be able to work independently with minimum supervision and comfortable with technology

  • Familiarity with web-based audit tools is preferred

  • Strong written and verbal communication skills and ability to clearly articulate findings

  • Deep background in medical billing, coding or auditing of insurance claims and medical records

  • Must be self-motivated, responsive and committed to communicating and collaborating with the engagement team on a regular basis to foster a common understanding of team objectives

  • Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future

KPMG LLP (the U.S. member firm of KPMG International) offers a comprehensive compensation and benefits package. KPMG is an affirmative action-equal opportunity employer. KPMG complies with all applicable federal, state and local laws regarding recruitment and hiring. All qualified applicants are considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other category protected by applicable federal, state or local laws. The attached link ( https://assets.kpmg.com/content/dam/kpmg/us/pdf/2018/09/eeo.pdf) contains further information regarding the firm's compliance with federal, state and local recruitment and hiring laws. No phone calls or agencies please.

At KPMG, any partner or employee must be fully vaccinated or test negative for COVID-19 in order to go to any KPMG office, client site or KPMG event. In some circumstances, individuals who are not fully vaccinated may also be required to have a reasonable accommodation to not be fully vaccinated for COVID-19.

GL: 5

GF: 15294

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