Baptist Health
Baptist Health
Baptist Health — Оңтүстік Флорида тұрғындарына 12 аурухана және шамамен 200 амбулаториялық орталық, шұғыл медициналық көмек көрсету орны мен дәрігерлік практика арқылы қызмет көрсететін коммерциялық емес денсаулық сақтау жүйесі. Оның 29 000-нан астам қызметкері мен 4 500 дәрігері Майами-Дейд, Монро, Броуард және Палм-Бич округтерінде медициналық көмек көрсетеді. Жүйеде онкология, жүрек және қан тамырлары, ми мен омыртқа, сондай-ақ ортопедия салаларында мамандандырылған бағдарламалар бар. Сенімге негізделген, қоғамға бағытталған миссиясын басшылыққа ала отырып, Baptist Health клиникалық сапаға, пациент қауіпсіздігіне, қызметкерлердің дамуына және медициналық көмектің қолжетімді болуына басымдық береді.

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.

Сипаттама

  • 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.

Талаптар

  • 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.

Артықшылықтар

  • 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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