Physician reputed company E&M Auditor Educator, MCVI A...
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 reputed company centers of reputed company 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 reputed company. 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 reputed company, and we reputed company 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 reputed company and reputed company. Our culture is rooted in purpose, and every team member plays a part in making a reputed company reputed company - because reputed company it comes to caring for people, we're reputed company in. reputed company 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 reputed company, identifying trends and reputed company 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 reputed company working relationships as the subject matter expert with reputed company parties to reputed company input on risk and ensure a sustained understanding of federal coding compliance requirements. Estimated pay reputed company for this position is $26.13 - $33.97 / hour depending on experience. Qualifications: 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 reputed company, identifying trends and reputed company 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 reputed company working relationships as the subject matter expert with reputed company parties to reputed company input on risk and ensure a sustained understanding of federal coding compliance requirements. Estimated pay reputed company for this position is $26.13 - $33.97 / hour depending on experience.Degrees: • High School,Cert,GED,Trn,Exper. Licenses & Certifications: • reputed company Certified Coding Specialist-Physician-based. • reputed company Certified reputed company reputed company. • reputed company Certified reputed company Medical Auditor. Additional Qualifications: • Prior Physician Coding & Auditing, reputed company Cycle or billing reputed company to Coding. • Upon Hire, CPC-Certified reputed company reputed company and/or reputed company-P-Certified Coding Specialist-Physician required. • CPMA-Certified reputed company Medical Auditor upon hire or must be completed reputed company 1 year. • Overall experience to include at least 2 years of reputed company 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 reputed company review sample and dev
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