Physician Billing Compliance Specialist

UF Health; Jacksonville (FL); Hybrid; USD 70,000 - 95,000; Full time

Job summary

UF Health in Jacksonville, FL seeks a Physician Billing Compliance Analyst to perform coding and documentation audits for COM-Jax and UFJPI providers. The role includes reviewing E/M, CPT, ICD-10-CM, and teaching physician guidelines, with coordination for refunds and education.

Requirements include 2 years of medical billing, 4 years of coding experience, and CCS/CPC certifications. Familiarity with EPIC and auditing software is preferred.

Qualifications

• 2 years of medical billing experience required.
• 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 (EPIC preferred).
• 1 year auditing software applications preferred.

Responsibilities

• Audit physician documentation and coding for compliance with E/M, CPT, ICD-10-CM, and teaching physician guidelines.
• Analyze audit findings and summarize for central database entry.
• Participate in audit conferences with COM-Jax and UFJPI representatives.
• Identify remedial training needs and conduct training as needed.
• Assist in policy/procedure development to align with Billing Compliance Plan.
• Support research for special projects and other duties as assigned.

Skills

Medical billing

Medical coding

Auditing

Policy compliance

Education

High School Diploma or GED

Associates in business or health care

Tools

EPIC

MDaudit

Compliance Risk Analyzer

Job description

UF Health in Jacksonville, FL seeks a Physician Billing Compliance Analyst to perform coding and documentation audits for COM-Jax and UFJPI providers. The role includes reviewing E/M, CPT, ICD-10-CM, and teaching physician guidelines, with coordination for refunds and education.

Requirements include 2 years of medical billing, 4 years of coding experience, and CCS/CPC certifications. Familiarity with EPIC and auditing software is preferred.