Compliance Auditor/Educator

Louisville, KY Full Time
POSTED ON 5/20/2024
Job Description: Baptist Health is looking for a Compliance Auditor/Educator to join our team in Louisville, KY The Compliance Coding Auditor/ Educator is an internal technical expert responsible for the education, auditing, and compliance related to professional service (physician) coding and billing for Baptist Health. Appropriate CPT, HCPCS, and diagnosis coding are essential to the financial viability of Baptist Health Medical Group (BHMG). It is imperative that the coding and billing activities of this organization are in compliance with the regulations and guidelines set forth by the Centers of Medicare and Medicaid Services (CMS) and the CMS Intermediary. The Compliance Coding Auditor/Educator will be required to provide individualized training and orientation for physicians, advanced practice clinicians (APCs), and other revenue-generating providers. This individual will also be responsible for training and education provided to management and support staff regarding CPT coding, E&M Coding, documentation, and diagnosis coding. This position will serve in a role that is dedicated to improving the accuracy of coding and billing for the professional services rendered and provide education required to assist physicians and providers in achieving that goal. Minimum Education, Training and Experience Required Graduate of an accredited discipline-specific program or BS/BA or AA in Healthcare Administration or Business Administration or equivalent experience required. Minimum of 6 years' work experience required in physician billing/reimbursement, billing compliance, and/or Auditing. Minimum of 5 years' work experience in auditing and educating individuals regarding medical record documentation in a multi-specialty setting is preferred. One of the following credentials is required: Certified Professional Coder (CPC) by AAPC Certified Coding Specialist – Physician (CCS-P) by AHIMA Coding or Auditing Certification required. One of the following credentials is preferred Certified Professional Medical Auditor (CPMA) by AAPC Instructor Certification (Either by AAPC or AHIMA) Exceptional group presentation and teaching skills Subject matter expert in CPT coding and diagnosis (ICD-9 / ICD-10) Exceptional organizational and time management skills. Willingness to participate in continuing education activities is required Ability to maintain strict confidentiality at all times. If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer. Founded in 1924, Baptist Health has been bringing advanced medical technology, modern facilities, and many of the region's most prominent physicians and medical professionals to the communities of our commonwealth for nearly a century. Headquartered in Louisville, the Baptist Health family of hospitals, care centers, physician offices and health facilities has experienced tremendous growth in recent years. Counting all nine hospitals, we have more than 2,700 licensed beds. Baptist Health has more than 300 points of care include outpatient facilities which offer Urgent Care, occupational medicine, physical therapy and diagnostics. Home care is also available in 39 Kentucky counties, six counties in Illinois and six counties in Southern Indiana. Our physician network of more than 3,000 employed and affiliated physicians continues to grow as we endeavor to improve access to healthcare and enhance the health of Kentucky as a whole. EEO Statement: Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to race, color, national origin, gender, sexual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing. NOTICE OF NONDISCRIMATION AND ACCESSIBILITY TO SERVICES Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056.

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