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Physician Billing Compliance Analyst | Downtown/Remote| Days


PayCompetitive
LocationJacksonville/Florida
Employment typeFull-Time

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  • Job Description

      Req#: 55042
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Salary up to $80,000
      - Opportunity for career advancement and growth within the organization
      - Supportive and collaborative work environment
      - Chance to make a positive impact on billing compliance and provider education
      - Involvement in various audit processes and special projects
      - Comprehensive benefits package, including health insurance and retirement plans

      What to Expect (Job Responsibilities):
      - Conduct physician coding/documentation audits for compliance with E&M, CPT, ICD-10-CM, and other relevant guidelines
      - Analyze audit findings and maintain records in the Physician Billing Compliance Services database
      - Facilitate audit conferences with representatives from the employer
      - Identify training needs and conduct remedial training for providers and billing staff
      - Assist in developing policies and procedures in accordance with the employer's Billing Compliance Plan

      What is Required (Qualifications):
      - Minimum of 2 years of medical billing experience
      - At least 4 years of medical coding experience for multi-specialty providers
      - 3 years of experience with Medicare, Medicaid, and Tricare payment and reimbursement rules
      - 3 years of experience in medical record chart auditing for professional billing
      - Certification as a Certified Coding Specialist, Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), and Certified Professional Medical Auditor (CPMA) required within specified timeframes

      How to Stand Out (Preferred Qualifications):
      - 1 year of experience with medical management information systems (EPIC preferred)
      - 1 year of experience with auditing software applications (e.g., MDaudit, Compliance Risk Analyzer)
      - Associate's degree in business or healthcare-related field

      #HealthcareServices #MedicalBilling #CodingCompliance #CareerOpportunity #AuditAnalysis

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

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