Physician Practice E&M Auditor Educator, Medical Group Auditing & Coding, FT, 8A-4:30P (Hybrid)

Baptist Health; Florida; On-site; USD 35,996 - 46,797; Full time

Benefits offered by this job

Career growth opportunities

Comprehensive health resources

Tuition reimbursement

Job summary

Baptist Health is seeking an E&M Coding Auditor/Educator to conduct audits for coding and billing integrity for physician and clinical fees. The position includes developing educational resources to ensure compliance with regulations and coding standards. AAPC and AHIMA certifications are required alongside a minimum of 4 years of coding experience. This role offers opportunities for career growth, competitive pay, and a comprehensive benefits package.

Qualifications

• Minimum 4 years of professional E&M coding experience.
• Certified as CPC or CCS-P upon hire.
• Strong knowledge of CMS Documentation Guidelines.

Responsibilities

• Perform comprehensive audits on coding and billing integrity for physician fees.
• Develop educational resources based on audit results.
• Lead education events to discuss audit outcomes and action plans.

Skills

E&M coding regulations

Data analysis

Customer service

Microsoft Office proficiency

Attention to detail

Education

High School diploma or equivalent

AAPC Certified Professional Medical Auditor

AHIMA Certified Coding Specialist-Physician-based

AAPC Certified Professional Coder

Job description

Benefits

• Career growth and development opportunities, with clear pathways and ongoing support
• Comprehensive health and wellness resources that go beyond traditional benefits
• A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
• Tuition reimbursement to support continued learning and advancement
• And so much more

Description

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.

Qualifications

• High School, Cert, GED, Trn, Exper.
• AAPC Certified Professional Medical Auditor.
• AHIMA Certified Coding Specialist-Physician-based.
• AAPC Certified Professional Coder.

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