Billing Compliance Lead: Physician Coding & Audit

University of Florida Jacksonville Physicians, Inc.; Jacksonville (FL); On-site; USD 90,000 - 115,000; Full time

Job summary

UFJPI seeks a Lead Physician Billing Compliance Analyst to conduct physician coding and documentation reviews, focusing on E/M, CPT-4, ICD-10, and payer policies. The Lead prepares audit reports, tracks refunds, and coordinates with UFJPI stakeholders to ensure refunds are processed and education is provided.

Responsibilities include auditing chart documentation, identifying process improvements, training staff, and covering duties during absences. Travel up to 10% is expected.

Qualifications

• 2 years Medical billing experience required.
• 5 years Medical coding (procedural and diagnosis) required.
• 4 years Medicare/Medicaid/Tricare rules knowledge required.
• 1 year Supervisory or project management experience required.
• Certified coding/auditing credentials preferred.

Responsibilities

• Perform audit reviews of UFJPI physicians within designated timeframes.
• Audit chart documentation for accurate coding and service support.
• Prepare audit reports with summaries and spreadsheets.
• Identify remedial training needs and conduct training as needed.
• Travel up to 10% as part of duties.

Skills

Medical billing

Medical coding

Supervisory

Project management

Auditing

Education

High School Diploma or GED

Associates Business or Health care related field

Tools

EPIC

MDaudit

Compliance Risk Analyzer

Job description

UFJPI seeks a Lead Physician Billing Compliance Analyst to conduct physician coding and documentation reviews, focusing on E/M, CPT-4, ICD-10, and payer policies. The Lead prepares audit reports, tracks refunds, and coordinates with UFJPI stakeholders to ensure refunds are processed and education is provided.

Responsibilities include auditing chart documentation, identifying process improvements, training staff, and covering duties during absences. Travel up to 10% is expected.