Job description

Summary

Job Description:

Baptist Health is looking for a Compliance Coding Auditor/Educator to join their team. This is a remote work position that requires residency in KY or IN

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 and documentation for Baptist Health Kentucky. The Compliance Coding Auditor/Educator will be required to provide individualized training for providers, 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. Compliance Auditor/Educator Level 1 (A/E-1) performs routine and follow-up audits focusing on specialties without high complexity surgical services or intricate LCD/NCD requirements. A/E-1 will facilitate audits outsourced to vendors but usually will not be expected to perform focused or due diligence audits. These A/Es will educate their audited providers and the management/staff but will not usually be expected to educate or present to larger groups. A/E-1 will usually not receive routed queries from outside the Compliance and Internal Audit departments.

Minimum Education, Experience, Training and Licensures Required

Bachelor’s degree; Graduate of an accredited discipline-specific
program or BS/BA in Healthcare Administration or Business Administration or equivalent experience required
Comprehensive training (Certificate/Diploma) in coding/auditing through a recognized program plus additional direct experience in lieu of degree
Certified Professional Coder (CPC) by AAPC
Certified Coding Specialist – Physician (CCS-P) by AHIMA
Coding or Auditing Certification
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 multispecialty setting is preferred.
Exceptional group presentation and teaching skills
Subject matter expert in CPT coding and diagnosis (ICD-9 / ICD-10)

Work Experience

Education