Medical Coding Auditor Educator

Overview

 

We have an exciting opportunity for a Medical Coding Auditor/Educator to join our team. Pediatrix Medical Group is a physician lead organization, and we are 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 offer a diverse range of opportunities, competitive salaries and benefits, and a commitment to clinical excellence, we are confident that you'll love being a part of the Pediatrix team. 

Responsibilities

The Medical Coding Auditor/Educator will be responsibile for accurate and compliant coding and documentation review of pertinent medical records and physician services to identify need for coding education, amd will provide education to physicians, coders, and other staff involved in the coding and billing process.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.

 

 

JOB RESPONSIBILITIES/DUTIES:

• Assists in the formulation of division medical coding audit and education plans, materials and improvement processes.
• Reviews clinical documentation to determine adherence to established Government and third party billing guidelines, AMA, AAP, CMS, and Pediatrix Algorithms and coding policies as necessary.
• Following Medical Coding Audit and Education policies and procedures, provides medical coding education to ensure compliant coding practices for Pediatrix
• Provides coding education instruction to physicians, coders, and other staff regarding standards for medical record documentation and the correct use of CPT-4 and ICD-10 codes.
• Assists in the development and maintenance of Committee approved standardized coding education materials.
• Develops reviews and recommends changes to audit and education documents and templates as needed to enhance the overall auditing and education process.
• Evaluates coding requirements and prepares materials for physicians and their staff prior to coding education instruction sessions in an effective and timely manner.
• Produces accurate information when answering coding inquiries and formulating instructional session summaries.
• Performs miscellaneous compliance audits and company based audit and education projects as required or requested by senior management.
• Effectively resolves coding inquiry issues through participation in the coder email process, patient dispute resolution process, and general coding education emails.
• Participate in audit, education and coding team meetings to discuss solutions to coding guidance or presentation issues.
• Meets or exceeds required departmental deadlines and goals on a consistent basis.
• Performs a variety of other duties as requested.

Qualifications

Experience and Education:

• Minimum of 3+ years 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.
• Associate's degree required. Bacheloer's or Master's degree preffered. 
• Certified Professional Coder (CPC), Certified Coding Specialist – Physician (CCS-P) designation required with current active status.

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.
• Proficient in medical terminology.

 

Software:

 NextGen EHR, GoTo Meeting, MicroSoft PowerPoint, Excel and Word, FirstClass.

 

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

Benefits for Full Time employees and qualified dependents: 

• Medical, Prescription, Dental, Vision Insurance
• Progyny Fertility Benefits
• Livongo Diabetes Management
• Teladoc Health and Second Opinion Services
• Smart Shopper
• 401(K) Thrift Program & Sharing Plan**
• Employee Stock Purchase Plan (ESPP) – 15% discount*
• Basic Employee; Spouse; Child Life Insuranc