Provider Coding Compliance Specialist

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

Job summary

Baylor Scott & White Health is seeking a Provider Coding Compliance Consultant to support the development and maintenance of BSWH policies, reporting to the Coding Compliance Manager.

You will conduct audits, prepare reports, and provide coding education across BSWH departments to ensure adherence to regulations. This role requires strong communication, attention to detail, and CPT/ICD-10-CM knowledge, with emphasis on orthopedics auditing.

Qualifications

• Bachelor's in HIM or 4 years of work experience.
• Medical Coding Certifications CPC, CCS, CCS-P preferred.

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 establish effective implementation.
• Tracks audit findings and surveys personnel audited 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 skills

Critical thinking

Attention to detail

Integrity

Initiative

Professional growth

HCCA Certification Preferred

Education

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

Medical Coding Certifications CPC CCS CCS-P

Tools

Microsoft Word

Microsoft Excel

Job description

Baylor Scott & White Health is seeking a Provider Coding Compliance Consultant to support the development and maintenance of BSWH policies, reporting to the Coding Compliance Manager.

You will conduct audits, prepare reports, and provide coding education across BSWH departments to ensure adherence to regulations. This role requires strong communication, attention to detail, and CPT/ICD-10-CM knowledge, with emphasis on orthopedics auditing.