Billing Comp Education Spec | Physician Billing - FL, GA, TN, NH, NC ONLY | Hybrid Days | Full Time

University of Florida Jacksonville Physicians, Inc.; Jacksonville (FL); On-site; USD 65,000 - 85,000; Full time

Job summary

The University of Florida Jacksonville Physicians, Inc. is hiring a Billing Compliance Education Specialist who will oversee the creation and implementation of educational programs for compliance in documentation, coding, and billing applicable to medical professionals.

This role requires working closely with physician billing compliance to deliver training and materials, with a strong emphasis on accurate coding and adherence to changes in policies.

Candidates should hold a high school diploma (GED required) and preferably a bachelor’s degree, along with significant experience in medical billing, eLearning authoring, and customer service skills.

Qualifications

• Five years of medical billing/claims experience including coding.
• Excellent written, verbal, and interpersonal skills.
• Certified Professional Coder (CPC or CCS-P) certification required.

Responsibilities

• Collaborates to design and publish educational materials.
• Delivers training sessions and updates educational material.
• Responds to inquiries with authoritative citations.

Skills

LMS environments and eLearning authoring

Medical billing/coding

Customer service skills

Proficiency in Microsoft Office

Education

High School Diploma or GED

Bachelor's degree

Tools

eLearning authoring software

Job description

Overview

The Billing Compliance Education Specialist oversees creation and implementation of documentation, coding, and billing compliance education for physicians, advanced practice professionals, residents, fellows, post-doctoral associates, medical students, and staff in accordance with the UF College of Medicine – Jacksonville Billing Compliance Plan. Education will be delivered through the organization's learning management system via e-learning authoring software and in-person.

Responsibilities

• Collaborates with the Director of Physician Billing Compliance Services to design and publish documentation, coding, billing, and compliance educational materials and tests for use in annual mandatory compliance education, new provider education, and remedial education delivered to providers and billing/coding staff.


• Ensures that all online educational/training material is revised or updated as soon as possible after coding, payer, and regulatory changes are made. Determines training objectives of future online educational initiatives, courses, and in‑services.


• Delivers one‑on‑one or in‑person education when requested and available, including travel throughout the UF Health network.


• Assists practice plan administrators in resolving specific educational or training problems and in disseminating information regarding federal and state regulations pertaining to billing compliance.


• Collaborates with the Physician Billing Compliance Services auditing team by conducting one‑on‑one educational sessions with providers and/or billing/coding staff on remedial education needs identified in billing compliance audits.


• Responds to email inquiries from medical departments, Revenue Cycle, and Patient Accounting and Collections with official/authoritative citations supporting the advice given. Records inquiries and responses in the investigative case management system (Case IQ).


• Oversees continuing education on existing documentation, coding, and billing compliance concepts.


• Analyzes adverse billing compliance audit results and creates abbreviated and targeted remedial educational courses in the Learning Management System designed to improve audit outcomes.


• Collaborates with the Professional Billing Clinical Documentation Improvement team to create educational material that clarifies documentation and billing requirements.


• Creates and maintains the official UFJPI E/M Coding Tools used by UF COM—JAX providers and UFJPI staff to assign codes/levels for E/M visit services correctly.

Qualifications

Experience Requirements

• Experience with LMS environments and eLearning authoring.


• Five (5) years of medical billing/claims experience including coding, medical terminology, and third‑party reimbursement.


• Experience in an adult training environment.


• Excellent written, verbal, and interpersonal skills and commitment to customer service.


• Computer literate with proficiency in Microsoft Office.


• Required Licensure/Certifications — Certified Professional Coder (CPC or CCS‑P).

Education

• High School Diploma or GED equivalent – Required.


• Bachelor's degree — Preferred.

Additional duties as assigned may vary.

UFJPI is an Equal Opportunity Employer and Drug Free Workplace.