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Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies, and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Committed to providing coordinated, compassionate, and clinically excellent services High-quality, evidence-based care supported by significant investments in research, education, quality-improvement, and safety initiatives
Medical Coding Auditor/Educator
Location
United States
Posted
102 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Medical Coding Auditor/Educator
Pediatrix
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Medical Coding Auditor/Educator will evaluate, prepare, and present audit results and educational instruction to physicians, coders, and other staff using corporate approved audit and education tools and materials. - Responsible for accurate and compliant coding and documentation review of pertinent medical records and physician services to identify need for coding education. - Provide coding education to physicians, coders, and other staff involved in the coding and billing process. - Assist in the formulation and improvement of division medical coding audit and education plans, materials, and processes. - Review clinical documentation to ensure adherence to Government and third-party billing guidelines, AMA/AAP/CMS standards, Pediatrix algorithms, and internal coding policies. - Follow Medical Coding Audit & Education policies and procedures to provide compliant coding education to Pediatrix teams. - Provide instruction to physicians, coders, and staff on documentation standards and correct use of CPT‑4 and ICD‑10 codes. - Assist in developing and maintaining Committee‑approved standardized coding education materials. - Develop, review, and recommend updates to audit and education documents and templates to enhance overall auditing and education effectiveness. - Evaluate coding requirements and prepare materials for physicians and staff prior to education sessions in a timely and effective manner. - Produce accurate information when addressing coding inquiries and when preparing instructional session summaries. - Perform miscellaneous compliance audits and participate in company audit and education projects as assigned by senior management. - Resolve coding inquiries through coder email processes, patient dispute resolutions, and general education communication channels. - Participate in audit, education, and coding team meetings to identify solutions for coding guidance or presentation issues. - Meet or exceed departmental deadlines and performance goals consistently. - Maintain strict confidentiality in accordance with HIPAA regulations and Company policies. Qualifications - Certified Professional Coder (CPC), Certified Coding Specialist – Physician (CCS-P) designation required with current active status. - 3-5 years of experience in hospital administration and/or multi-specialty physician practice, with full exposure to managing the accounts receivables, physician billing, and CPT-4/ICD-10 coding with medical terminology. Requirements - Ability to define problems, collect data, establish facts, and draw valid conclusions. - Ability to interpret an extensive variety of technical instructions and communicate them to physicians, coders, and other staff in a way that facilitates understanding. - Software: NextGen EHR/EPM, GoTo Meeting, Microsoft PowerPoint, Excel and Word, FirstClass. - Travel – this position may require travel to medical offices across an assigned geography as necessary, ranging from 25% to 50% each month dependent upon audit and education schedules. (Travel is reimbursed 100% by the company) Benefits - Comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. - Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. - Some benefits are provided at no cost, while others require a cost share between employees and the company. - Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions.
Job Requirements
- Certified Professional Coder (CPC), Certified Coding Specialist – Physician (CCS-P) designation required with current active status.
- 3-5 years of experience in hospital administration and/or multi-specialty physician practice, with full exposure to managing the accounts receivables, physician billing, and CPT-4/ICD-10 coding with medical terminology.
- Ability to define problems, collect data, establish facts, and draw valid conclusions.
- Ability to interpret an extensive variety of technical instructions and communicate them to physicians, coders, and other staff in a way that facilitates understanding.
- Software: NextGen EHR/EPM, GoTo Meeting, Microsoft PowerPoint, Excel and Word, FirstClass.
- Travel – this position may require travel to medical offices across an assigned geography as necessary, ranging from 25% to 50% each month dependent upon audit and education schedules. (Travel is reimbursed 100% by the company)
Benefits
- Comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being.
- Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program.
- Some benefits are provided at no cost, while others require a cost share between employees and the company.
- Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions.
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