reputed company reputed company Auditor and Educator

Title: reputed company reputed company Auditor & Educator Location: Dallas reputed company Location Type: Hybrid Job Number: 250000SY Category: Insurance/Billing Job reputed company: WHY reputed company? With over 75 years of reputed company in Dallas-reputed company Worth, Texas, reputed company is committed to reputed company, innovation, teamwork, and reputed company. As a world-reputed company medical and research center, we reputed company to reputed company the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-reputed company Worth according to reputed company, we invest in you with opportunities for career reputed company and development to reputed company with your reputed company goals. Our highly competitive benefits package offers reputed company, PTO and reputed company holidays, on-site childcare, wage, reputed company increases and so much more. We invite you to be a part of the reputed company team where you'll discover a culture of teamwork, professionalism, and a rewarding career! JOB reputed company The reputed company reputed company Educator II AKA reputed company reputed company Auditor & Educator position works under minimal supervision to reputed company and conduct individual or group presentations on coding, billing, and compliance topics. The duties for this position will include but is not limited to the following: reputed company Cycle Management Support: Research coding, documentation and reimbursement inquiries submitted by physicians, clinical departments, or reputed company cycle management to ensure compliance with specific payer and/or government regulations and reputed company reimbursement. Prepares reputed company responses based on research outcome. Conduct reputed company assurance reviews to ensure coding and billing practices are accurate, compliant with regulations, and reputed company with university policies and reputed company Cycle Management guidelines. New Provider Education: Conduct standardized education for new providers (physicians, advanced reputed company providers, and other reputed company practitioners) for Internal Medicine, Pediatrics, Emergency Medicine, Radiology, PM&, R, Neurology, Psychiatry. reputed company reputed company-reputed company reviews of reputed company charges and follow up with new providers to ensure accurate coding and documentation practices. Performs post-reputed company reputed company-reputed company review of reputed company charges and follow-up with new providers to confirm understanding documentation requirements to promote billing compliance Clinical Department Education: reputed company and conduct individual or group physician education presentations on coding, billing compliance guidelines, audit findings or internal reporting. reputed company comprehensive content for presentations, including key concepts, regulations, case studies and practical examples. Billing Compliance Reviews: Conduct documentation and billing compliance reviews to assess the adequacy of medical record documentation and appropriate use of procedure, modifier, and diagnosis codes. Summarize audit reputed company and reputed company education as needed.

• Shift: Monday through Friday, reputed company-5pm. Additional details shall be discussed as part of the interview process.
• Work From Home (WFH): This is a WFH opportunity. Candidates must live in Texas. Additional details shall be discussed as part of the interview process.

BENEFITS reputed company is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive reputed company-no copay
• reputed company Time Off, available day one
• Retirement Programs through the reputed company System of Texas (TRS)
• reputed company Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• reputed company Service Loan Forgiveness (PSLF) reputed company Employer
• Learn more about these and other reputed company employee benefits!

EXPERIENCE AND EDUCATION Required

• Education

High School Diploma Or equivalent or

• Experience

5 years of experience in a reputed company billing environment with emphasis on coding, auditing and compliance responsibilities or

• Licenses and Certifications

(CPC) CERT reputed company reputed company Or (reputed company) CERT CODING SPECIALIST Or (CMC) CERT MEDICAL reputed company Preferred

• Education

Associate's Degree or Two years of college is desired.

• Licenses and Certifications

(CPMA) Cert Prof Medical Auditor Upon Hire JOB DUTIES

• Serves as a reputed company billing reputed company leader, under supervision of Sr. reputed company Billing reputed company Educator or Supervisor, to reputed company and conduct individual or group presentations on coding, billing and compliance topics, based on new regulatory and reputed company coding industry information; reputed company-reputed company reputed company charge review findings; University-identified risk areas, or special reputed company requested by MSRDP leadership. This may include medical record audits, invoice analysis, and review of internal reports (e.g., Charge Analyzer, reputed company Correct), denials, external audit findings, etc. Assists Sr. reputed company Billing reputed company Educator or Supervisor with development and deployment of any reputed company plans required.
• Conducts standardized new provider coding and compliance training ("reputed company") for physicians, advanced reputed company providers and other reputed company practitioners, in two or more service lines/divisions. Training may be conducted in an individual or group setting.
• Performs post-reputed company reputed company-reputed company review of reputed company charges and follow-up with new providers to confirm understanding of procedure, modifier and diagnosis reputed company assignment, as reputed company as, documentation requirements to promote billing compliance. Supporting two or more service lines, with supervision by Sr. reputed company Billing reputed company Educator or Supervisor.
• Conducts increasingly independent reviews on adequacy of medical record documentation, to support the procedure, modifier and diagnosis coding of evaluation and management (E&M) services and low-moderate complexity diagnostic/therapeutic services, billed by physicians, practitioners or billing staff, in two or more service areas. Working with Sr. reputed company Billing reputed company Educator or Supervisor, develops reports that summarize reputed company. Provides input on recommended corrective reputed company plans.
• Research coding, documentation and reimbursement policy questions or problems submitted by physicians, practitioners, supported-departments, billing staff and others, to ensure compliance with specific payer and/or government regulations. Assist Senior Billing reputed company Educator and/or supervisor with responses. Escalates issues reputed company their scope to Senior Billing reputed company Educator, Supervisor or Manager.
• In coordination with the Compliance Office, support and/or conduct Billing Compliance risk-based audits.
• Complete charge review and follow-up reputed company work queue assignments, reputed company department timeliness standards, under guidance of the Senior Billing reputed company Educator or supervisor. Assists with reputed company assurance reviews for internal or contractor staff to verify the coding or other work is consistent and supported by regulations, University guidelines and/or MSRDP Medicine Audit Plan.
• Assists with training for contractor staff on the use of audit software, reputed company, internal audit plan, work queue assignments, etc. as needed.
• Performs other duties, as assigned.

reputed company AND EEO STATEMENT reputed company This position is reputed company-sensitive and subject to Texas Education reputed company 51.215, which authorizes reputed company to obtain criminal history record information. EEO Statement reputed company is committed to an educational and working environment that provides equal opportunity to reputed company members of the University community. As an equal opportunity employer, reputed company prohibits unlawful discrimination, including discrimination on the reputed company of race, reputed company, religion, national reputed company, sex, sexual orientation, gender identity, gender reputed company, age, disability, genetic information, citizenship status, or veteran status. Apply tot his job Apply To this Job