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Physician Billing Auditor - Medical Records (FT) - Hybrid job in Oceanport at Barnabas Health

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Physician Billing Auditor - Medical Records (FT) - Hybrid at Barnabas Health

Physician Billing Auditor - Medical Records (FT) - Hybrid

Barnabas Health Oceanport, NJ (On Site) Full-Time
Physician Billing Auditor - Medical Records (FT) - Hybrid Req #: 0000071916
Category: Professional / Management
Status: Full-Time
Shift: Day
Facility: RWJBarnabas Health Corporate Services
Department: Medical Records
System Business Office, 2 Crescent Place, Oceanport, NJ 07757

Job Summary:
The Physician Billing Auditor prepares and conducts employed provider billing audits according to the current year Work Plan, in accordance with new provider on-boarding (pre- and post-acquisition), and as per Compliance and/or Management requests.
Essential Functions:
  • Reviews ICD-10-CM coding performed by employed providers and/or affiliate staff for accuracy and completeness.
  • Reviews HCPCS/CPT coding performed by employed providers and/or affiliate staff for accuracy and completeness.
  • Reviews Evaluation and Management (E/M) coding performed by employed providers and/or affiliate staff for accuracy and completeness.
  • Works collaboratively with providers and affiliate staff to promote and ensure correct and compliant coding and billing practices.
  • Works collaboratively with Physician Billing Educators providing audit results, coding references, and other materials associated with completed reviews of employed providers, including research, and associated research documentation.
  • Prepares detailed reports of review activities.
  • Maintains proper computer and written records of all review activity.
  • Effectively communicates coding recommendations and reasoning to medical staff members and others.
  • Performs regulatory coding research for Compliance Department and/or employed providers and affiliate staff.
  • Performs physician RAC coding reviews and prepares appeals when warranted.
  • Assists internal and external Compliance counsel in external agency investigations as required.
  • Corresponds with AMA, etc. with coding questions as necessary.
  • May be required to assist in the formation of Corrective Action Plans for the employed physicians and affiliate staff.
Job Requirements:
  • Must have a minimum of an Associate s Degree; Bachelor s degree preferred.
  • Must have advanced coding education and training with strong foundation in E/M coding.
  • Prior E/M physician auditing experience preferred.
  • Prior supervisory experience and/or coding consultant experience preferred.
  • Must have excellent interpersonal skills.
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Additional Information:
We offer a great work environment, competitive rates and excellent benefits, including:
  • Medical/Dental/Vision plans
  • 401 (k)
  • Vacation/Personal/Holiday/Sick Time Off
  • Short & Long Term Disability
  • Basic Life & Accidental Death Insurance
  • Tuition Reimbursement
  • Health Care/Dependent Care Flexible Spending Accounts

RWJBarnabas Health is an Equal Opportunity Employer

Company Description:

How do you build a healthier New Jersey? Every day at RWJBarnabas Health, extraordinary people like you come together to shape the answer. In our newly-integrated network of busy urban medical centers, acclaimed teaching and research facilities, and state-of-the-art community hospitals, we’re delivering world-class care to more than 5 million people across the Garden State — and redefining the career expectations of every member of our team.

We’re proud to be one of New Jersey’s premier employers, with a strong financial foundation and an outstanding national reputation for excellence in health care. At the same time, we feel like an extended family: A dynamic collection of diverse and passionate individuals with unique skills, deep roots in the communities we serve, and a shared belief that we’re better together.

We know that the best way to serve our state is to build the strongest team in the country. We’re doing that by creating a compelling matrix organization that offers the unrivaled flexibility to explore opportunities across the entirety of our network — so you can make the choices that will position you to grow and thrive for years to come.

How do you build a better future? By focusing on quality of life. Great relationships. Community focus. And tremendous opportunities for lifelong learning and professional growth. Take a closer look at RWJ Barnabas Health, and you’ll s

Recommended Skills

  • Auditing
  • Billing
  • Corrective And Preventive Action (Capa)
  • Icd 10 Medical Classification
  • Interpersonal Skills
  • Research
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