Physician Billing Compliance Analyst: Coding & Audit Expert

UF Health; Manhattan Beach (FL); Remote; USD 60,000 - 90,000; Full time

Job summary

UF Health seeks a Physician Billing Compliance Analyst to perform physician coding and documentation audits for COM-Jax and UFJPI. The role covers E/M, CPT, ICD-10-CM coding and teaching physician guidelines, with focus on regulatory and payer policies.

You will present audit findings, coordinate with COM-Jax and UFJPI representatives, and help educate staff to improve compliance. Strong coding and auditing background, plus EPIC or similar systems, are preferred.

Qualifications

• 2 years Medical billing experience required.
• 4 years Medical coding (procedural and diagnosis) for multi-specialty providers required.
• 3 years Medicare, Medicaid, and Tricare payment and reimbursement rules required.
• 3 years Medical record chart auditing for professional billing required.
• 1 year Medical management information systems experience (EPIC preferred) required.
• 1 year Auditing software applications preferred (MDaudit, CRA)

Responsibilities

• Audit chart documentation and professional billing for compliance with E/M, CPT, ICD-10-CM, and payer policies.
• Analyze audit findings and summarize for central database.
• Participate in opening/closing audit conferences with COM-Jax and UFJPI.
• Identify remedial training needs and conduct training with providers or billing staff.
• Assist in development of policies and procedures per Billing Compliance Plan.
• Problem solve issues identified during audits.
• Assist with audits using various auditing software programs.
• Support Manager/Director with research for special projects.

Skills

Medical billing

Medical coding

Auditing

Documentation

Education

High School Diploma or GED

Associates in Business or health care industry related field

Certified Coding Specialist (CCS)

CCS-Physician Based (CCS-P)

Certified Professional Coder (CPC)

Certified Professional Medical Auditor (CPMA)

Tools

EPIC

MDaudit

Compliance Risk Analyzer

Job description

UF Health seeks a Physician Billing Compliance Analyst to perform physician coding and documentation audits for COM-Jax and UFJPI. The role covers E/M, CPT, ICD-10-CM coding and teaching physician guidelines, with focus on regulatory and payer policies.

You will present audit findings, coordinate with COM-Jax and UFJPI representatives, and help educate staff to improve compliance. Strong coding and auditing background, plus EPIC or similar systems, are preferred.