University of Florida Jacksonville Physicians, Inc.
Physician Billing Compliance Analyst | Downtown/Remote| Days
University of Florida Jacksonville Physicians, Inc., Jacksonville, Florida, United States, 32290
Overview
Physician Billing Compliance Analyst – Downtown/Remote – Days Join to apply for the Physician Billing Compliance Analyst role at University of Florida Jacksonville Physicians, Inc. The Analyst will perform physician coding/documentation audits and affiliated activities for the UF COM-Jax and UFJPI, focusing on physician/advanced practice professional coding and chart documentation, including E&M, CPT, ICD-10-CM, HCPCS Level II, teaching physician guidelines, and carrier specific policies. Responsibilities
Audit chart documentation and professional billing for compliance with E&M and CPT coding, ICD-10-CM, teaching physician guidelines, payer policies, and regulatory requirements within designated timeframes. Analyze audit findings and summarize results for entry into the PBC central database. Participate in opening and closing audit conferences with COM-Jax and UFJPI representatives. Identify remedial training needs from audits and conduct training with providers and/or UFJPI billing staff as needed. Assist in developing policies and procedures to align with the COM-Jax Billing Compliance Plan. Resolve issues identified during the audit process and assist with creation and performance of audits using various auditing software programs. Support the Manager and Director of PBC with research and analysis for special projects and other duties as assigned. Perform other duties as assigned. Qualifications
Experience Requirements 2 years medical billing required 4 years medical coding (procedural and diagnosis) for multi-specialty providers required 3 years Medicare, Medicaid, and Tricare rules required 3 years medical record chart auditing for professional billing required Preferred: 1 year medical management information systems (EPIC preferred) required Preferred: 1 year auditing software applications (e.g., MDaudit, Compliance Risk Analyzer) preferred Education: High school diploma or GED required; Associate’s in business or healthcare-related field preferred Certifications/Licensure: CCS or equivalent required at time of hire; CCS-P or AHIMA certification preferred; CPC required; CPMA required within 6 months UFJPI is an Equal Opportunity Employer and Drug Free Workplace Job Details
Seniority level: Mid-Senior level Employment type: Full-time Job function: Other Industry: Hospitals and Health Care
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Physician Billing Compliance Analyst – Downtown/Remote – Days Join to apply for the Physician Billing Compliance Analyst role at University of Florida Jacksonville Physicians, Inc. The Analyst will perform physician coding/documentation audits and affiliated activities for the UF COM-Jax and UFJPI, focusing on physician/advanced practice professional coding and chart documentation, including E&M, CPT, ICD-10-CM, HCPCS Level II, teaching physician guidelines, and carrier specific policies. Responsibilities
Audit chart documentation and professional billing for compliance with E&M and CPT coding, ICD-10-CM, teaching physician guidelines, payer policies, and regulatory requirements within designated timeframes. Analyze audit findings and summarize results for entry into the PBC central database. Participate in opening and closing audit conferences with COM-Jax and UFJPI representatives. Identify remedial training needs from audits and conduct training with providers and/or UFJPI billing staff as needed. Assist in developing policies and procedures to align with the COM-Jax Billing Compliance Plan. Resolve issues identified during the audit process and assist with creation and performance of audits using various auditing software programs. Support the Manager and Director of PBC with research and analysis for special projects and other duties as assigned. Perform other duties as assigned. Qualifications
Experience Requirements 2 years medical billing required 4 years medical coding (procedural and diagnosis) for multi-specialty providers required 3 years Medicare, Medicaid, and Tricare rules required 3 years medical record chart auditing for professional billing required Preferred: 1 year medical management information systems (EPIC preferred) required Preferred: 1 year auditing software applications (e.g., MDaudit, Compliance Risk Analyzer) preferred Education: High school diploma or GED required; Associate’s in business or healthcare-related field preferred Certifications/Licensure: CCS or equivalent required at time of hire; CCS-P or AHIMA certification preferred; CPC required; CPMA required within 6 months UFJPI is an Equal Opportunity Employer and Drug Free Workplace Job Details
Seniority level: Mid-Senior level Employment type: Full-time Job function: Other Industry: Hospitals and Health Care
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