PHYSICIAN PRACTICE E&m auditor eDUCATOR REMOTE - BAPTIST HEALTH

DESCRIPION:

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.

QUALIFICATIONS:

• High School Diploma, Certificate of Attendance, Certificate of Completion, GED or equivalent training or experience required. 
• AAPC Certified Professional Coder AAPC Certified Professional Medical Auditor AHIMA Certified Coding Specialist-Physician-based 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.

MULTIPLE POSITIONS - R1 COMPANY

Multiple Coding Based Positions

Managed Resources - Multiple Positions - Remote