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Medical Coding Auditor - Pediatric Surgery Job in Sunrise, Florida

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Job Title: Medical Coding Auditor - Pediatric Surgery

Employer:MEDNAX Services Inc
Type:Salaried
Skills:Coding,Auditing,Education
Specialties:Pediatric Surgery, Pediatric Urology, Pediatric ENT, Pediatric Ophthalmology
Required Certifications:CPC
Preferred Certifications:CPC,CPMA,CCSP
Required Experience:3 to 4 years
Preferred Experience:5 to 7 years
Location:Sunrise, FL
Date Posted:8/12/2019

MEDNAX has grown from a single medical practice to a trusted health solutions partner with more than 10,000 employees and a presence in 50 states. Through our family of companies, we provide:

- physician services spanning the continuum of patient care

- revenue cycle management solutions

- performance improvement consulting

We invite you to grow with us and help shape the future of health care.

 

Under the direct supervision of the Director and/or Manager of Medical Coding Audit and Education, the Medical Coding Auditor will be assigned one or more of the following responsibilities:   accurate and compliant coding and documentation review of pertinent medical records and physician services to identify need for coding education; coding education to physicians, coders, and other staff involved in the coding and billing process.  Coding reviews include routine and periodic assessment of diagnoses and procedures performed with adherence to established coding guidelines of ICD-9-CM and/or ICD-10-CM (International Classification of Disease), CPT (Current Procedural Terminology), Governmental and Third-party carriers.  MCAE will participate in educational feedback loop with physicians, coders, and billers as necessary and according to procedure.   To perform this job successfully, an individual must be able to evaluate, prepare, and present audit results and educational instruction to physicians, coders, and other staff using corporate approved audit and education tools and materials. Application software used to perform job’s tasks includes internal database programs, NextGen EHR/EPM, GoTo Meeting, MicroSoft PowerPoint, Excel, Word, Outlook and Teams.


Responsibilities

 

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 MEDNAX Services, Inc.

- Develops reviews and recommends changes to audit and education documents and templates as needed to enhance the overall auditing and education process.

- Performs miscellaneous compliance audits and company based audit and education projects as required or requested by senior management.

- Participate in audit, education and coding team meetings to discuss solutions to coding guidance or presentation issues.

- Performs and meets administrative responsibilities according to company policies.

- Performs a variety of other duties as requested.

Meets or exceeds required departmental deadlines and goals on a consistent basis.

- Maintains strict confidentiality in accordance with HIPAA regulations and Company policy.

- Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.

- Embodies the principles of the corporate Mission Statement and Philosophy at all times.

- Complies with departmental and company-wide policies and procedures.

Qualifications

 

Certified Professional Coder (CPC), Certified Coding Specialist – Physician (CCS-P) designation required with current active status.

- Level of educational degree and years of 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 with medical terminology will identify the appropriate candidate.

- 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.

Applying

MEDNAX IS AN Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status

 


To apply, please click on the link:

https://non-clinical-mednax.icims.com/jobs/20067/medical-coding-auditor-educator/job



Or apply online at Mednax.com   Req# 2019-20067


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