Baptist Health
Baptist Health
Baptist Health एक गैर-लाभकारी स्वास्थ्य सेवा प्रणाली है, जो 12 अस्पतालों और लगभग 200 बाह्य रोगी केंद्रों, तत्काल देखभाल सुविधाओं और चिकित्सकीय प्रैक्टिस के माध्यम से दक्षिण फ्लोरिडा के लोगों को स्वास्थ्य सेवाएँ प्रदान करती है। इसके 29,000 से अधिक कर्मचारी और 4,500 चिकित्सक मियामी-डेड, मोनरो, ब्रोवार्ड और पाम बीच काउंटियों में देखभाल प्रदान करते हैं। इसके विशेष कार्यक्रम कैंसर, हृदय एवं रक्तवाहिका, मस्तिष्क एवं रीढ़ तथा हड्डी एवं जोड़ संबंधी उपचार पर केंद्रित हैं। आस्था-आधारित और समुदाय-केंद्रित मिशन से प्रेरित Baptist Health नैदानिक गुणवत्ता, रोगी सुरक्षा, कर्मचारियों के विकास और सुलभ स्वास्थ्य सेवाओं को प्राथमिकता देता है।

Physician Practice E/M Auditor Educator - Baptist Health, Florida Remote

Baptist Health seeks a physician coding auditor to review E/M compliance, billing accuracy, and medical necessity. The role also develops provider education and corrective coding resources based on audit findings and regulatory updates.

विवरण

  • Conduct thorough audits of physician and clinical fee coding and billing to assess accuracy and integrity.
  • Identify and resolve documentation, coding, billing, and medical-necessity issues affecting billed services.
  • Review documentation accuracy across E/M and other payer codes, medical necessity, reimbursement variances, and documentation compliance standards.
  • Research applicable federal regulations and compliance guidance, then incorporate them into audit processes.
  • Create and deliver provider education programs and curricula, including coding guides, materials, tools, webinars, and campaigns informed by audit findings, trends, and regulatory changes.
  • Facilitate provider education sessions covering audit outcomes, emerging trends, and corrective action plans.
  • Support or manage related auditing and coding projects, along with additional assignments from executive leadership.
  • Act as a coding compliance subject matter expert, build effective stakeholder relationships, provide risk guidance, and reinforce understanding of federal requirements.

आवश्यकताएँ

  • High school diploma, certificate, GED, training, or equivalent experience.
  • CPC and/or CCS-P certification is required upon hire.
  • CPMA certification is required upon hire or must be obtained within one year.
  • At least two years of professional E/M coding experience and two years of E/M provider education experience.
  • Previous experience in physician coding and auditing, revenue cycle, or coding-related billing.
  • Strong understanding of E/M regulations and CMS documentation guidelines.
  • Demonstrated ability to abstract data, analyze patient encounters in focused review samples, and create comprehensive coding education materials and resources.
  • Proficiency with ICD-10-CM, CPT, and HCPCS coding, as well as physician-practice policies and procedures.
  • Strong organization and careful attention to detail.
  • Ability to prioritize provider record reviews, projects, and coding education in alignment with audit findings and broader trends.
  • Ability to work independently with minimal supervision.
  • Ability to deliver excellent customer service.
  • Strong computer skills, including Microsoft Office proficiency and report generation; four years of required experience.
  • Minimum required experience: 4 years.

लाभ

  • Opportunities for career development and advancement supported by defined pathways.
  • Broad health and wellness resources extending beyond standard benefits.
  • A wellness program that may help eliminate the medical plan deductible and lower out-of-pocket healthcare expenses.
  • Tuition reimbursement for continued education and professional growth.

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