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Baptist Health
Baptist Health
Ne pelno organizacijosSveikatos priežiūra
„Baptist Health“ yra ne pelno siekianti sveikatos priežiūros sistema, aptarnaujanti Pietų Floridą per 12 ligoninių ir maždaug 200 ambulatorinių centrų, skubiosios pagalbos įstaigų bei gydytojų praktikų. Daugiau nei 29 000 darbuotojų ir 4 500 gydytojų teikia priežiūrą Majamio-Dade, Monro, Brovardo ir Palm Bičo apygardose. Sistemoje vykdomos specializuotos vėžio, širdies ir kraujagyslių, smegenų ir stuburo bei ortopedijos programos. Tikėjimu ir bendruomene grindžiama misija skatina „Baptist Health“ daugiausia dėmesio skirti klinikinei priežiūros kokybei, pacientų saugai, darbuotojų tobulėjimui ir prieinamai sveikatos priežiūrai.
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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.

USJungtinės ValstijosFLFlorida
26 $ – 33 $ / valanda
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųAuditorius

Aprašymas

  • 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.

Reikalavimai

  • 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.

Privalumai

  • 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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