Provider Coding Compliance Auditor & Educator

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

Job summary

Baylor Scott & White Health (BSWH) is seeking a Provider Coding Compliance Consultant to join the Compliance team. The role reports to the Coding Compliance Manager and supports developing and maintaining BSWH policies to ensure adherence to federal, state, and local laws and regulations.

The position offers a pay range from $30.52/hour ($63,481/year) up to $45.79/hour ($95,243/year), depending on qualifications and experience.

Qualifications

• Bachelor's in HIM or 4 years of Physician/Professional fee coding work experience.
• 1 Year of Experience in coding/audit roles.
• HCCA certification preferred is a plus.

Responsibilities

• Identifies projects for audits and schedules audits with appropriate personnel.
• Conducts auditing of provider services, monitoring, and investigations to ensure compliance with policies and laws.
• Provides written audit and investigation reports, identifying risks and recommending corrective actions.
• Obtains corrective action plans for deficiencies and follows through to ensure effective implementation.
• Tracks audit findings and surveys audited personnel to assess effectiveness.
• Provides and coordinates coding education with providers on audit trends and training for compliance initiatives.
• Serves as a coding compliance resource to BSWH departments on compliance matters.

Skills

Communication skills

Audit reporting

Critical thinking

Education

Bachelor's degree in HIM or 4 years of Physician/Professional fee coding work experience

Tools

Microsoft Word

Microsoft Excel

Job description

Baylor Scott & White Health (BSWH) is seeking a Provider Coding Compliance Consultant to join the Compliance team. The role reports to the Coding Compliance Manager and supports developing and maintaining BSWH policies to ensure adherence to federal, state, and local laws and regulations.

The position offers a pay range from $30.52/hour ($63,481/year) up to $45.79/hour ($95,243/year), depending on qualifications and experience.