Provider Coding Compliance Auditor

Baylor Scott & White Health; Helena (MT); On-site; USD 63,000 - 95,000; Full time

Job summary

Baylor Scott & White Health (BSWH) is committed to an effective compliance program. The Provider Coding Compliance Consultant reports to the Coding Compliance Manager and works under the Compliance Vice President or Director. They perform activities related to developing, implementing, and maintaining BSWH policies.

These activities ensure adherence to federal, state, and local laws and regulations. The pay range for this position is $30.52/hour ($63,481/year) for entry-level to $45.79/hour

Qualifications

• Bachelor's in HIM or 4 years of physician/professional fee coding experience.
• Medical coding certifications such as CPC, CCS, CCS-P preferred.
• Experience auditing E/M services, surgical procedures, and office-based procedures with orthopedics knowledge.

Responsibilities

• Identifies appropriate projects for audits and schedules audits with appropriate personnel.
• Conducts auditing of provider services, monitoring, and investigating activities to establish compliance with BSWH policies and regulations.
• Provides written audit and investigation reports, identifying risks and recommending steps to improve effectiveness and mitigate risks.
• Obtains corrective action plans for identified deficiencies and follows through to ensure implementation is completed.
• Tracks audit findings and surveys audited personnel to assess audit satisfaction and effectiveness.
• Provides and coordinates coding education with providers regarding audit trends and training for compliance initiatives.
• Serves as a coding compliance resource to BSWH departments and entities on basic compliance matters.

Skills

Communication

Attention to detail

Critical thinking

Documentation

Education

Bachelor's in HIM

CPC/CCS/CCS-P

Tools

Microsoft Word

Excel

Job description

Baylor Scott & White Health (BSWH) is committed to an effective compliance program. The Provider Coding Compliance Consultant reports to the Coding Compliance Manager and works under the Compliance Vice President or Director. They perform activities related to developing, implementing, and maintaining BSWH policies.

These activities ensure adherence to federal, state, and local laws and regulations. The pay range for this position is $30.52/hour ($63,481/year) for entry-level to $45.79/hour