Physician Coding Auditor
Orlando
Position Summary:
Orlando Health Medical Group is a comprehensive physician group serving patients from across the southeastern United States. With more than 200 practices and 1,200 physicians, Orlando Health Medical Group has a strong representation in over 55 specialties, including cardiology, vascular medicine, orthopedics, oncology, digestive health, neurology, neurosurgery, bariatric surgery, general surgery, bone marrow transplant and critical care medicine, as well as more than 30 pediatric subspecialties, women’s health, primary care and the largest hospitalist program in Florida.
Orlando Health Medical Group is part of the Orlando Health system of care, which includes award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities that span Florida’s east to west coasts and beyond.Collectively, our 27,000+ team members honor our over 100-year legacy by providing professional and compassionate care to the patients, families and communities we serve.
Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE
education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions. “Orlando Health Is Your Best Place to Work” is not just something we say, it’
Performs coding related audits to monitor professional coding to ensure optimal efficiency and follow the controlling complianceguidelines with governmental and private payers. The Physician Coding Auditor is responsible for analyzing Physician and Coder
charges for Surgical, procedural and E/M based coding.
Responsibilities:
Responsible for internal auditing and analyzing professional coding for allservice lines.o Monitor the audit results closely to identify any potential coding inaccuracy.
o Provides the Educators the needed support in identifying coding errors.
o Provides results or trends with Education Team for physician education.
- Review medical records to ensure coding accuracy.
- Identify and communicate physician documentation and coding opportunities for improvement.
- Provides feedback to physicians, non-physician providers, physician office staff, administration, practice managers, and
physician coding compliance.
- Collaborates with Physician Coding Education Team to ensure appropriate and complete coding accuracy for payor
- Utilizes resource material available in department, CMS, AMA, AHCA and federal registry to support coding practices.
- Maintains patient and coder confidentiality audit results.
- Collaborate with physician coding leadership for monitoring coding quality.
- Participate in Health Plan Audits
- Follow and adhere to Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies.
- Perform physician queries for coding and documentation clarification during concurrent chart review process.
- Serves as a resource to new coders.
- Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of
- Proficiency in coding including ICD-10, CPT, E/M, modifiers while maintaining a 90% accuracy.
- Adhere to Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies.
- Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other
- Maintains compliance with all Orlando Health policies and procedures.
- Attends payor, departmental and interdepartmental meetings as required.
- Other duties as assigned based on organization needs and projects.
- Works in collaboration for testing, training, and mentoring incoming coders according to the coding guidelines and
- Conducts focused physician reviews as needed and provides data to manager.
- Strong research, organizational, multi-tasking, planning, problem-solving and critical thinking skills
- Excellent collaboration, verbal, and written communication skills with providers, leadership, and team members
- Excellent knowledge of medical terminology, CPT, ICD-10-CM/PCS and HCPCS coding principles, governmental regulations,
- Expert Coding (CPT and ICD-10-CM) and auditing
- Experience working with Electronic Medical Records, EPIC experience preferred
- Excellent communication (written and oral) and interpersonal skills.
- Strong organizational, multi-tasking, and time-managementskills.
- Must be detail oriented and able to follow through on issues to resolution.
- Must be able to act both independently and as a team member.
- Ability to work independently
Qualifications:
Education/Training- High School diploma or equivalent
- Possesses exceptional knowledge in Microsoft Office Suite
- Thorough knowledge of official coding guidelines as per AMA, AHCA, and CMS as evidenced by results of coding skills test of 90% or better.
Licensure/Certification
Must maintain one (1) of the following nationally recognized certifications:- CPMA certification required through the American Academy of Professional Coders
- Coding Credential Required: AHIMA or AAPC credential.
- CEMA certification via National Alliance of Medical Auditing Specialists
- Five (5+) years of professional based coding experience in multiple specialties is required.
Orlando
Position Summary:
Orlando Health Medical Group is a comprehensive physician group serving patients from across the southeastern United States. With more than 200 practices and 1,200 physicians, Orlando Health Medical Group has a strong...
Orlando
The Physician Coding Education Specialist is responsible for analyzing physician coding trends and providing educations that will contribute to effective productivities.
**This opportunity is a hybrid role requiring occasional onsite presence and residency...
National Coalition Of Healthcare RecruitersOrlando
Physician/MD qualifications required) Gastroenterology - Healthcare employer in Orlando Florida is looking to hire a Gastroenterologist to join 4 others. Here you will find an established patient base with a surgical center where most procedures...