Physician Compliance Auditor II

Baylor Scott & White Health

Olympia, WA(remote)

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JOB DETAILS

SALARY

$26.66–$40 Per Hour

SKILLS

Auditing, Cardiology, Certified Coding Specialist (CCS), Certified Financial Examiner (CFE), Certified Midwife (CM), Certified Professional Coder (CPC), Code Reviews, Consulting, Current Procedural Terminology (CPT), Documentation, Documentation Standards, Family Medicine, Healthcare, Healthcare Common Procedure Coding System (HCPCS), ICD-10, Internal Medicine, Internet/Online Service, Legal, Maintain Compliance, Medical Coding, Medical Records, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Nonprofit, Orthopedics, Policy Development, Procedure Development, Project Planning, Regulatory Compliance, Regulatory Requirements, Research Skills, Risk Analysis, Training/Teaching Curriculum

LOCATION

Olympia, WA

POSTED

20 days ago

**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 _Note: Benefits may vary based upon position type and/or level._ **Job Summary** + The Physician Compliance Auditor II audits and evaluates compliance activities to ensure documentation meets standards. + Establishes audit scope, uses tools, compiles data, reports findings, and provides recommendations and training. + Audits may include documentation and coding accuracy for outpatient, inpatient, and emergency services using ICD-10, CPT, HCPCS, and other guidelines. + Coding across multiple services lines + E/M services + Surgical procedures + Diagnostic procedures + Multiple Specialities including: Cardiology, Orthopedics, Family Medicine, Internal Medicine **Work Model & Salary** 100% Remote The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Performs chart audits and formulates recommendations based upon the audit findings and communicates them to the appropriate personnel. + Implements coding reviews and creates work plans based on them. Ensures compliance issues and risks are identified and addressed. + Develops curriculum for educating providers and staff on medical record documentation guidelines. Educates on diagnostic and procedural coding conventions and methodologies. + Acts as a coding compliance and documentation resource and consultant for all providers, company administrators, and clinical staff. + Assists in developing policies and procedures on coding compliance for clinics and the compliance department. + Prepares and submits compliance reports to the compliance committee. + Cross-trains other Physician Compliance Auditors in their area(s) of expertise to provide more depth and flexibility to the department. **Key Success Factors** + Advanced knowledge of CPT, ICD-10, and HCPCS. + CHC, AHFI, or CFE certification preferred. + Maintains working knowledge of Federal, State, private payer, and other applicable legal and regulatory requirements for the compliance department. + Ability to research complex topics regarding compliance and coding efficiently and accurately. + Able to explain compliance concerns and resolutions clearly and concisely. Comfortable discussing them with all organization members. + Proficient in Word, Excel, and PowerPoint. + Four years auditing experience. **Belonging Statement** We believe that all people should feel welcomed, valued and supported. **QUALIFICATIONS** + EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification + EXPERIENCE - 4 Years of Experience + Auditing experience for Pro-Fee (providers) services with a focus on CPT as well as ICD-10-CM + Coding experience across multiple service lines + E/M services + Surgical procedures + Diagnostic procedures + Multiple Specialities including: Cardiology, Orthopedics, Family Medicine, Internal Medicine + CERTIFICATION/LICENSE/REGISTRATION + Active coding certification: CPC (Verified through AAPC) or CCS-P (Verified through AHIMA) required + Auditing experience for Pro-Fee (providers) services with a focus on CPT as well as ICD-10-CM Cert Coding Spec Physician Bas (CCS-P), Cert Professional Coder (CPC), Cert Prof Coder Physician (CPC-P): Must have one of the following: Cert Coding Spec Physician based (CCS-P), Cert Professional Coder (CPC), or Cert Prof Coder Physician (CPC-P). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

About the Company

Baylor Scott & White Health

Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!

COMPANY SIZE

500 to 999 employees

INDUSTRY

Other/Not Classified

FOUNDED

1950