Billing Manager

International Executive Service Corps

Miami Beach (FL)

Hybrid

USD 85,000 - 100,000

Full time

14 days+

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Benefits offered by this job

Health benefits

Life insurance

Long-term disability coverage

Healthcare spending accounts

Retirement plan

Paid time off

Pet Insurance

Tuition reimbursement

Employee assistance program

Wellness program

Job summary

A healthcare leader in South Florida seeks a Physician Billing Auditing Manager to oversee auditing functions across specialties. The candidate will ensure coding accuracy and compliance through proactive audits and education. Responsibilities include managing audit programs, mentoring staff, and collaborating with clinical teams. A Bachelor's degree and certification as a CPC or equivalent are required, along with 5+ years of coding experience, preferably in a leadership role. Join our mission to provide top-quality healthcare!

Qualifications

Minimum 5 years of experience in coding, 2 years in leadership or auditing.
Experience providing coder mentorship and physician education.
Strong knowledge of CPT, ICD-10, HCPCS, and E/M coding guidelines.

Responsibilities

Lead and manage auditing functions for Physician Practices.
Conduct audits to ensure coding accuracy and compliance.
Develop and implement auditing programs and provide training.

Skills

Analytical skills

Organizational skills

Communication skills

Proficiency in Microsoft Office Suite

Knowledge of coding guidelines

Education

Bachelor’s Degree in Health Information Management or Healthcare Administration

Certified Professional Coder (CPC)

Certified Coding Specialist (CCS)

Tools

Electronic health records

Coding software

Audit tools

Job description

Physician Billing Auditing Manager - Hybrid work setting, Florida residency required

As Mount Sinai grows, so does our legacy in high-quality health care.

Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.

Culture of Caring: The Sinai Way

Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.

Position Summary

The PB Audit Manager is responsible for leading and managing the auditing functions of Physician Practices across multiple specialties with a focus on Physician & Coder Education. This role ensures coding accuracy, compliance with regulatory guidelines, and optimal reimbursement through proactive audit strategies, education and collaboration with clinical, coding and financial teams.

Key Responsibilities

Audit Oversight & Execution
- Develop and implement a comprehensive auditing program for professional fee coding.
- Conduct routine and targeted audits to assess coding accuracy, documentation quality, and compliance with CMS, CPT, ICD-10, and payer-specific guidelines.
- Analyze audit findings and identify trends, risks, and opportunities for improvement in documentation and coding accuracy.
Team Leadership & Development
- Provide mentorship, performance feedback, and ongoing training.
- Identify organizational opportunities to partner with Providers, improve coding quality and prevent unnecessary corrective actions.
- Plan Provider education with Physician Practices as warranted.
Compliance & Risk Management
- Collaborate with Compliance and Legal departments to ensure adherence to federal and state regulations.
- Support internal and external audit processes, including RAC, MAC, and payer audits.
- Maintain documentation of audit results and corrective actions for compliance reporting.
Reporting & Analytics
- Prepare detailed audit reports and dashboards for leadership, highlighting key metrics and trends.
- Roll-out targeted education for improvement based on findings.
Stakeholder Collaboration
- Work closely with physicians, Physician Practice Administration, Clinical Information Systems, and revenue cycle leadership to resolve coding discrepancies and improve documentation practices.
- Serve as a subject matter expert on coding guidelines and reimbursement policies.

Qualifications

Education & Certification
- Bachelor’s Degree in Health Information Management, Healthcare Administration, or related field (preferred).
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential required.
- Certified Professional Medical Auditor (CPMA) preferred.
Experience
- Minimum 5 years of experience in coding, with at least 2 years in a leadership or auditing role.
- Experience providing coder mentorship and physician education in PB coding matters.
- Strong knowledge of CPT, ICD-10, HCPCS, and E/M coding guidelines.
- Experience with electronic health records, coding software, and audit tools.
Skills
- Excellent analytical, organizational, and communication skills.
- Proficiency in Microsoft Office Suite and data reporting tools.