Physician Compliance Auditor - Remote Texas Residents Only
****Remote Position - Candidate must be in State of Texas****
The Physician Compliance Auditor performs audits and evaluates compliance-related activities and services. Auditing may include documentation and coding of Evaluation/Management (E/M) services, procedures, midlevel services, and Teaching Physician and resident services. Utilizes ICD-9, CPT, HCPCS and other coding references to ensure accurate coding has been performed by physicians and clinic staff.
Performs annual chart audits and formulate recommendations based upon the audit findings and communicate them to the appropriate personnel; prepares and submits compliance reports to the compliance committee.
Implements annual coding reviews, create work plans based on the reviews and ensure that compliance issues and areas of risk are identified and addressed
Assists in curriculum development to be used in orienting and educating physicians and staff to medical record documentation guidelines and standards and to diagnostic and procedural coding conventions and methodologies; provides feedback and education sessions to providers and staff regarding coding and billing issues in a clear, concise and professional manner as required
Serves as a Coding compliance resource and consultant for all physician and mid-level providers, company administrators, and physician practice staff; assists in developing policies and procedures on coding compliance for clinics and the compliance department.
Fulfills continuing education and/or certification requirements to maintain required qualifications and/or knowledge; remains current with compliance, coding, and billing regulatory trends and innovations by participating in external professional associations and seminars as needed, and attend continuing education classes
Participates in mentoring activities and classes provided by Baylor Scott & White Health
Must be able to travel at least 25% of the time
The ideal candidate for the Physician Compliance Auditor role is highly adept and experienced as an Auditor, preferably in cardiology procedure and/or interventional cardiology coding as well as E/M auditing and must have working knowledge of electronic health records. The ideal candidate will also demonstrate professionalism, strong oral & written communication, strong analytical aptitude and presentation skills. Experience managing multiple projects and tight deadlines is also preferred.
Location/Facility: [Enter Facility Name] (i.e. Baylor Regional Medical Center at Plano)
For more information on the facility, please click our Locations link.
Specialty/Department/Practice: [Enter Spec/Dept/Prac] (i.e. Critical Care, Radiology, Family Care)
Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
PTO accrual beginning Day 1
*Note: Benefits may vary based upon position type and/or level.
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation's exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it's accepting a calling!
Associate's Degree required
Bachelor's Degree in Health Science-related field (e.g. BA, BS or BSN) is preferred
Certified Professional Coder (CPC) or CPC-P required
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!