Physician Practice E&M Auditor Educator, MCVI Administration, FT, 8A-4:30P (Hybrid)

Baptist Health; United States; On-site; USD 74,873,000 - 97,338,000; Full time

Job summary

DaMar Staffing seeks an E&M Coding Auditor/Educator with CIRCC certification and experience in interventional coding to lead audits of physician and clinical billing.

The role analyzes documentation for accuracy, develops comprehensive education curriculums, and leads provider education events. You will apply federal guidelines, CMS rules, and drive improvements in coding compliance, reporting, and training.

Qualifications

• Must have at least 4 years professional E/M coding experience.
• Experience auditing coding and documentation for physicians and clinical services.
• Ability to develop and deliver education materials and trainings.

Responsibilities

• Perform comprehensive audits of coding/billing for physician and clinical services.
• Identify errors and assess medical necessity, documentation, and compliance.
• Develop provider education curriculums and lead education events.
• Collaborate with leadership to share audit results and action plans.

Skills

E/M coding

Audit experience

Education development

Customer service

Education

AHIMA Certified Coding Specialist-Physician-based

AAPC Certified Professional Coder

AAPC Certified Professional Medical Auditor

CPMA-Certified Professional Medical Auditor

CCS-P-Certified Coding Specialist-Physician

Tools

Microsoft Office

Report generation

Job description

E&M Coding Auditor/Educator

The ideal candidate will have CIRCC Certification as well and experience in interventional coding.

E&M Coding Auditor/Educator performs comprehensive audits to determine integrity of coding/billing for physician & clinical fees, detection/correction of documentation, coding/billing errors and/or medical necessity of services billed. Audits consist of evaluation of the accuracy of documentation, including E/M and other payer codes, medical necessity, reimbursement overpayments and underpayments, and compliance with other documentation standards. Researches and applies all federal guidelines & compliance with the overall audit delivery. Develops and executes provider comprehensive educational opportunities/curriculums (coding resources, materials, tools, webinars, campaigns, etc.) based on audit results, noted trends & changes within coding compliance and regulatory guidelines, while supporting organizational compliance models. Leads provider's education events to discuss overall audit results overview, identifying trends and action plans. Provides support or project management for any other related audit and coding initiatives and assist in other related responsibilities as required by executive leadership team. Establishes positive working relationships as the subject matter expert with all parties to provide input on risk and ensure a sustained understanding of federal coding compliance requirements. Estimated pay range for this position is $26.13 - $33.97 / hour depending on experience.

Degrees:

• High School,Cert,GED,Trn,Exper.

Licenses & Certifications:

• AHIMA Certified Coding Specialist-Physician-based.
• AAPC Certified Professional Coder.
• AAPC Certified Professional Medical Auditor.

Additional Qualifications:

• Prior Physician Coding & Auditing, Revenue Cycle or billing related to Coding.
• Upon Hire, CPC-Certified Professional Coder and/or CCS-P-Certified Coding Specialist-Physician required.
• CPMA-Certified Professional Medical Auditor upon hire or must be completed within 1 year.
• Overall experience to include at least 2 years of professional E&M coding experience and 2 years of E&M provider education experience.
• Strong knowledge of E&M regulations and CMS Documentation Guidelines.
• Successful experience with data abstraction and analyze patient encounters for a focused review sample and development of comprehensive coding education materials and resources.
• Proficient in ICD10CM, CPT and HCPCS coding, policy and procedures based on physician practices.
• Strong organizational skills and attention to detail.
• Ability to prioritize provider medical record reviews/projects and provider coding education opportunities with alignment with audits and overall trends.
• Work independently with little or no supervision.
• Ability to provide excellent customer service.
• Excellent computer skills and proficient in Microsoft Office and generating reports.

Minimum Required Experience: 4 Years

EOE, including disability/vets