Note: The job is a remote job and is open to candidates in USA. Baylor Scott & White Health is committed to maintaining an effective compliance program and ensuring adherence to applicable laws and regulations. The Provider Coding Compliance Consultant develops and maintains compliance policies, conducts provider service audits and investigations, prepares reports, tracks corrective actions, and provides coding education to providers and internal departments.
Responsibilities
- Identifies appropriate projects for audits and schedules audits with appropriate personnel
- Conducts auditing of provider services, monitoring, and investigating activities to establish compliance with BSWH policies and procedures, and federal, state and local laws
- Provides written audit and investigation reports, identifying risks and recommending appropriate steps to improve effectiveness and mitigate risks
- Obtains corrective action plans for identified deficiencies and follows through to establish effective implementation is completed
- Tracks audit findings and surveys personnel audited to assess audit satisfaction and effectiveness
- Provides and coordinates coding education with providers regarding audit trends. and training for compliance initiatives
- Serves as a coding compliance resource to BSWH departments and entities on basic compliance matters
Skills
- EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
- EXPERIENCE - 1 Year of Experience
- Bachelor's in HIM or 4 years of Physician/Professional fee coding work experience
- Medical Coding Certifications such as CPC, CCS, CCS-P
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