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Billing Coding Compliance Auditor, Remote, Business Office, FT, 08A-4:30P

Baptist Health
Miami
$28,98-$35,07 an hour
Remote
Full-time

Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties.

Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences.

Baptist Health is supported by philanthropy and committed to its faith-based charitable mission of medical excellence.

Our mission, vision, and values make us who we are at Baptist Health and are at the center of everything we do. At Baptist Health, we positively impact the human experience for patients, employees, and physicians.

Our success comes from a culture of quality and dedication that is instilled into every member of the Baptist Health family.

This year, and for 24 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, based on employee feedback.

We’ve also been recognized as one of America’s Most Innovative Companies and People Magazine included us in 50 Companies That Care.

Based on the & World Report 2023-2024 Best Hospital Rankings, Baptist Health is the most awarded healthcare system in South Florida, with its hospitals and institutes earning 45 high-performing honors.

But really, the reason we’re excited to come to work is the people.

Working together, we form personal connections with our colleagues that are stronger than most of us have experienced at other jobs.

We develop caring relationships with our patients and their families that go beyond just delivering healthcare. After all, we know what it’s like to be in their shoes.

Many of us have been patients here and have had family members as patients here. We’re committed to delivering quality care in the most compassionate way possible because we feel a personal stake in the outcomes.

When it comes to caring for people, we’re all in.

Description

Serve as an expert in Outpatient Prospective Payment System or Inpatient Prospective Payment System. Responsible for maintaining coded data quality through ongoing quality review and assessment of outpatient or inpatient records.

Performs con-current audits on accuracy of APC, ASC or MSDRGs as well as on quality of medical record documentation needed for accurate coding.

Prepare reports, identifies trends and takes appropriate actions in response. Works with HIM coding management in developing education and training for coders, clinical department and / or physicians for documentation improvement.

Create consistency and efficiency in outpatient or inpatient claims processing and data collection to optimize APC, ASC or DRG reimbursement and facilitate data quality in hospital outpatient or inpatient services ensuring regulatory compliance.

Estimated pay range for this position is $28.98 - $35.07 / hour depending on experience.

Qualifications

Degrees :

High School,Cert,GED,Trn,Exper.

Licenses & Certifications :

  • AHIMA Certified Coding Specialist.
  • AAPC Certified Professional Coder.

Additional Qualifications :

  • Prefer Bachelor s Degree in Health Information Management or equivalent.
  • Certified Coding Specialist or AAPC Certified Professional Coder certification required.
  • Prefer AHIMA approved ICD10CM / PCS trainer.
  • Proficient in ICD9CM / PCS, ICD10CM / PCS, CPT4, and HCPCS coding conventions and guidelines, encoder and National and Local Coverage Determinations.
  • Proficient in Word, Excel and PowerPoint.

Minimum Required Experience :

Corporate

Primary Location

Miami

Organization

Corporate

Schedule

Full-time

Job Posting

Oct 17, 2024, 12 : 00 : 00 AM

Unposting Date

Ongoing

3 days ago
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