Medical Coder Auditor/Educator

Overview:

 

We have a Medical Coding Auditor/Educator Career opportunity for an experienced professional to join our team at Pediatrix Medical Group. We are a national organization, and one of the nation’s largest providers of prenatal, neonatal and pediatric services.

 

Talented business professionals from diverse backgrounds choose Pediatrix because we are an exciting and innovative company that focuses on a team approach to improve the lives of patients everywhere. We are confident that you'll love being a part of the Pediatrix team. 

Responsibilities:

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. They will be responsibile for accurate and compliant coding and documentation review of pertinent medical records and physician services to identify need for coding education; coding education to physicians, coders, and other staff involved in the coding and billing process. 

 

• Assists in the formulation and improvement of division medical coding audit and education plans, materials, and processes.
• Reviews clinical documentation to ensure adherence to Government and third‑party billing guidelines, AMA/AAP/CMS standards, Pediatrix algorithms, and internal coding policies.
• Follows Medical Coding Audit & Education policies and procedures to provide compliant coding education to Pediatrix teams.
• Provides instruction to physicians, coders, and staff on documentation standards and correct use of CPT‑4 and ICD‑10 codes.
• Assists in developing and maintaining Committee‑approved standardized coding education materials.
• Develops, reviews, and recommends updates to audit and education documents and templates to enhance overall auditing and education effectiveness.
• Evaluates coding requirements and prepares materials for physicians and staff prior to education sessions in a timely and effective manner.
• Produces accurate information when addressing coding inquiries and when preparing instructional session summaries.
• Performs miscellaneous compliance audits and participates in company audit and education projects as assigned by senior management.
• Resolves coding inquiries through coder email processes, patient dispute resolutions, and general education communication channels.
• Participates in audit, education, and coding team meetings to identify solutions for coding guidance or presentation issues.
• Meets or exceeds departmental deadlines and performance goals consistently.
• Maintains strict confidentiality in accordance with HIPAA regulations and Company policies.

Qualifications:

Education/Experience: 

• 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 will identify the appropriate candidate.

Knowledge/Skills:

• 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.

Travel will range from 25% to 50% each month dependent upon audit and education schedules. (Travel is reimbursed 100% by the company)

Benefits and Compensation:

Take great care of the patient, every day and every way.TM At Pediatrix & Obstetrix, that’s not only our motto at work each day; it’s also how we view our employees and their families. We know that our greatest asset is YOU. 

 

We take pride in offering 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. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families. 

About Us:

 

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. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives. 

 

Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers.

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Pediatrix is an Equal Opportunity Employer:

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.