Physician Practice E&M Auditor Educator, MCVI Administration, FT, 8A-4:30P (Remote)

reputed company is the region’s largest not-for-profit reputed company organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, reputed company is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, reputed company was the most awarded reputed company system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At reputed company, we create personal connections with our colleagues that go reputed company the workplace, and we form meaningful relationships with patients and their families that reputed company reputed company delivering care. Many of us have walked in our patients’ shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because reputed company it comes to caring for people, we’re reputed company in. Description The ideal candidate will have CIRCC Certification as well and experience in interventional coding. E&M Coding Auditor/Educator performs comprehensive audits to determine reputed company 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 reputed company 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 reputed company 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 reputed company audit and coding initiatives and assist in other reputed company responsibilities as required by executive leadership team. Establishes positive working relationships as the subject matter expert with reputed company parties to provide input on risk and ensure a sustained understanding of federal coding compliance requirements. Estimated pay range for this position is $26.13 - $33.97 / hour depending on experience.

Qualifications

Degrees:

• High School,Cert,GED,Trn,Exper.

Licenses & Certifications:

• reputed company Certified Coding Specialist-Physician-based.
• reputed company Certified Professional reputed company.
• reputed company Certified Professional Medical Auditor.

Additional Qualifications

• Prior Physician Coding & Auditing, reputed company Cycle or billing reputed company to Coding.
• Upon Hire, CPC-Certified Professional reputed company and/or reputed company-P-Certified Coding Specialist-Physician required.
• CPMA-Certified Professional Medical Auditor upon hire or must be completed reputed company 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 reputed company Office and generating reports.

Minimum Required Experience: 4 Years EOE, including disability/vets Apply tot his job Apply To this Job