Physician Billing Compliance Analyst - Coding & Audits

University of Florida Jacksonville Physicians, Inc.; Jacksonville (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

University of Florida Jacksonville Physicians, Inc. is seeking a Physician Billing Compliance Analyst to perform coding and documentation audits for COM-Jax and UFJPI providers. The role focuses on accurate E/M, CPT, ICD-10-CM coding and adherence to payer policies.

The analyst will present findings and coordinate refunds and education with internal teams. The ideal candidate has medical billing and coding experience across specialties, familiarity with EPIC, and relevant auditing software, with

Qualifications

• 2 years Medical billing experience.
• 4 years Medical coding (procedural and diagnosis) for multi-specialty providers.
• 3 years Medicare, Medicaid, and Tricare payment and reimbursement rules.
• 3 years Medical record chart auditing for professional billing.
• 1 year Medical management information systems experience (EPIC preferred).
• 1 year Auditing software applications (e.g. MDaudit, Compliance Risk Analyzer) preferred.
• High School Diploma or GED required; Associates degree preferred.
• Certified Coding Specialist (CCS) required or at time of hire; CCS-P AHIMA required or at time of hire; CPC required or at time of hire; CPMA required within 6 months.

Responsibilities

• Audit physician coding/documentation for E/M, CPT, ICD-10-CM, HCPCS Level II and teaching physician guidelines.
• Prepare and present audit findings to COM-Jax and UFJPI stakeholders.
• Coordinate with COM-Jax and UFJPI to process refunds and address education needs.
• Open/close audit conferences with stakeholders.
• Identify remedial training needs and conduct training as needed.
• Assist in development of billing compliance policies and procedures.
• Support audits using various auditing software programs and tools.

Education

High School Diploma or GED

Associates Business or health care industry related field

Tools

EPIC

MDaudit

Compliance Risk Analyzer

Job description

University of Florida Jacksonville Physicians, Inc. is seeking a Physician Billing Compliance Analyst to perform coding and documentation audits for COM-Jax and UFJPI providers. The role focuses on accurate E/M, CPT, ICD-10-CM coding and adherence to payer policies.

The analyst will present findings and coordinate refunds and education with internal teams. The ideal candidate has medical billing and coding experience across specialties, familiarity with EPIC, and relevant auditing software, with