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Physician Compliance Auditor - Remote Texas Residents Only

Company: Baylor Scott & White Health
Location: Temple
Posted on: January 4, 2020

Job Description:

****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)

------ Shift/Schedule ------ [Enter Shift & Schedule] (i.e. Days, Nights, PRN or Weekends; 30 hours/week_full-time_part-time)

------ Benefits ------ Our competitive benefits package includes*:

------ Immediate eligibility for health and welfare benefits

------ 401(k) savings plan with dollar-for-dollar match up to 5%

------ Tuition Reimbursement

------ 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

o Bachelor------s Degree in Health Science-related field (e.g. BA, BS or BSN) is preferred

------ Certified Professional Coder (CPC) or CPC-P required

------ 3+ years of experience required

o Audit experience preferred

Keywords: Baylor Scott & White Health, Temple , Physician Compliance Auditor - Remote Texas Residents Only, Healthcare , Temple, Texas

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