Physician Billing Compliance Lead Auditor

UF Health; Jacksonville (FL); On-site; USD 75,000 - 110,000; Full time

Job summary

UF Health in Jacksonville is seeking a Lead Physician Billing Compliance Analyst to oversee coding reviews for providers in UFJPI. The role includes auditing E/M, CPT, ICD-10, and HCPCS levels, presenting findings, and coordinating refunds and education with UFJPI representatives.

Leadership responsibilities include monitoring productivity and quality, training staff, and acting as liaison with the Office of Compliance. Travel up to 10% may be required.

Qualifications

• High School Diploma or GED is required.
• Associates degree in Business or healthcare field preferred.
• CCS, CPC, CPMA licenses are expected at hire or thereafter.

Responsibilities

• Perform audit reviews of UFJPI physicians within designated timeframes.
• Identify ongoing problems in audit process and notify manager.
• Audit chart documentation for accurate coding and to verify services billed.
• Prepare audit reports including spreadsheets of audit findings.
• Train staff on audit processes and remedial training as needed.
• Travel up to 10%.

Skills

Medical billing

Medical coding

Auditing

Project management

Education

High School Diploma or GED

Associates in Business or Healthcare

Tools

MDaudit

Compliance Risk Analyzer

EPIC

Job description

UF Health in Jacksonville is seeking a Lead Physician Billing Compliance Analyst to oversee coding reviews for providers in UFJPI. The role includes auditing E/M, CPT, ICD-10, and HCPCS levels, presenting findings, and coordinating refunds and education with UFJPI representatives.

Leadership responsibilities include monitoring productivity and quality, training staff, and acting as liaison with the Office of Compliance. Travel up to 10% may be required.