Physician Practice E&M Auditor Educator Remote, BHMG Audit & Coding Education, FT, 8A-4:30P

Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. Baptist Health is supported by philanthropy and committed to its faith-based charitable mission of medical excellence.

Our mission, vision, and values make us who we are at Baptist Health and are at the center of everything we do. At Baptist Health, we positively impact the human experience for patients, employees, and physicians. Our success comes from a culture of quality and dedication that is instilled into every member of the Baptist Health family.

This year, and for 24 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, based on employee feedback. We’ve also been recognized as one of America’s Most Innovative Companies and People Magazine included us in 50 Companies That Care. Based on the U.S. News & World Report 2023-2024 Best Hospital Rankings, Baptist Health is the most awarded healthcare system in South Florida, with its hospitals and institutes earning 45 high-performing honors.

But really, the reason we’re excited to come to work is the people.

Working together, we form personal connections with our colleagues that are stronger than most of us have experienced at other jobs. We develop caring relationships with our patients and their families that go beyond just delivering healthcare. After all, we know what it’s like to be in their shoes. Many of us have been patients here and have had family members as patients here. We’re committed to delivering quality care in the most compassionate way possible because we feel a personal stake in the outcomes. When it comes to caring for people, we’re all in.

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 $25.74 - $33.46 / hour depending on experience.

Qualifications

Degrees: High School Diploma, Certificate of Attendance, Certificate of Completion, GED or equivalent training or experience required.

Licenses & Certifications: 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.

Additional Qualifications: Prior Physician Coding & Auditing, Revenue Cycle or billing related to Coding. 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