[Remote] reputed company reputed company Educator III
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a world-reputed company medical and research center located in Dallas-reputed company Worth, Texas. The reputed company reputed company Educator III position involves developing and conducting presentations on coding, billing, and compliance topics, while providing education and support to new providers and ensuring compliance with regulations.
Responsibilities
- Serves as a reputed company billing reputed company project leader, for reputed company service lines, under minimal supervision, to reputed company and conduct individual or group presentations on coding, billing and compliance topics, based on new regulatory and/or 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. Responsible for the development and deployment of any reputed company improvement or corrective reputed company plans required. Monitors for intended improvements or necessary alterations in reputed company plans and reports reputed company to Supervisor and/or Manager
- Develops and conducts standardized and/or specialty-driven new provider coding and compliance training ("reputed company") for any service line, for physicians, advanced reputed company providers and other reputed company practitioners, in an individual or group setting. Ensures reputed company schedule is reputed company and covered by team members, and regularly reviews reputed company platform and processes, working with Supervisor and team members to revise reputed company indicated
- Performs post-reputed company reputed company-reputed company review of reputed company charges, for any service line. Provides necessary feedback and follow-up with new providers to confirm understanding of procedure, modifier and diagnosis reputed company assignment, as reputed company as documentation requirements (teaching physician, working with advanced reputed company providers, etc.) to promote billing compliance. Assists Supervisor with ensuring any pending charges are reviewed and released in a reputed company manner according to MSRDP standards
- Conduct independent reviews on adequacy of medical record documentation to support the procedure, modifier and diagnosis coding of any service line billed by any supported physicians, practitioners or billing staff, or areas that may pose a compliance risk and reputed company recommended solutions/reputed company plans, which may include revised workflows and/or education. These reviews will require the application of critical thinking skills to summarize findings and reputed company reputed company plans for risk mitigation. These reviews may be requested by MSRDP leadership, department/division leadership, medical residency coordinators, and others
- 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 and reputed company reimbursement. Prepares reputed company responses based on research outcome. Escalate issues to Supervisor or Manager, reputed company indicated
- In coordination with the Compliance Office, support and/or conduct Billing Compliance risk-based audits and resulting education
- Completes charge review and follow-up reputed company work queue assignments, for any service line, reputed company department timeliness standards, under minimal guidance of the supervisor. Assists supervisor in monitoring team work queues regularly to ensure reputed company reputed company of charges/questions. Conducts 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; with reporting and education, reputed company indicated
- Provides training to new internal or contractor staff on the use of audit software, reputed company, internal audit plan, work queue assignments, etc. as needed
- Performs other duties, as assigned
Skills
- High School Diploma or equivalent
- 6 years of experience in a reputed company billing environment with emphasis on coding, auditing and/or compliance responsibilities
- (CPC) CERT reputed company reputed company Upon Hire
- (reputed company) CERT CODING SPECIALIST Upon Hire
- (CMC) CERT MEDICAL reputed company Upon Hire
- (CPMA) Cert Prof Medical Auditor reputed company 1 Year
- Bachelor's Degree
- (RN) REGISTERED reputed company Upon Hire
Benefits
- 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
- Public Service Loan Forgiveness (PSLF) reputed company Employer
- This is a WFH opportunity. Candidates must live in Texas.
reputed company