JOB SUMMARY

　　The Physician Compliance Auditor 1 performs audits and evaluates compliance related activities and services to ensure that documentation meets required standards and regulations. Determines the scope of an audit, uses appropriate tools to perform the audit, compiles data, reports findings, and provides corrective recommendations and training. Audits may include documentation and coding accuracy of outpatient, inpatient, and emergency services by utilizing ICD-10, CPT, HCPCS and other coding and documentation guidelines.

　　SALARY

　　The pay range for this position is $22.09 (entry-level qualifications) - $29.77 (more experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience.

　　ESSENTIAL FUNCTIONS OF THE ROLE

　　Performs chart audits and formulates recommendations based upon the audit findings and communicates them to the appropriate personnel.

　　Implements coding reviews, creates work plans based on the reviews and ensures that compliance issues and areas of risk are identified and addressed.

　　Assists in developing curriculum for medical record documentation guidelines, coding conventions, and methodologies for diagnostic and procedural services for the education of physicians and staff.

　　Acts as a coding compliance resource and consultant for all providers, company administrators, and clinical staff.

　　KEY SUCCESS FACTORS

　　Knowledge of CPT, ICD-10 and HCPCS.

　　Able to determine the scope of an audit, use appropriate tools to perform the audit, compile data, report findings, and provides corrective recommendations and training.

　　Maintains working knowledge of Federal, State, private payer, and other applicable legal and regulatory requirements for the compliance department.

　　Ability to research topics regarding compliance and coding efficiently and accurately.

　　Able to explain compliance concerns and resolutions clearly and concisely with the ability to comfortably discuss the same with all members of the organization.

　　Proficient in Word, Excel, and PowerPoint.

　　Two years auditing experience.

　　BENEFITS

　　Our competitive benefits package includes the following

　　Immediate eligibility for health and welfare benefits

　　401(k) savings plan with dollar-for-dollar match up to 5%

　　Tuition Reimbursement

　　PTO accrual beginning Day 1

　　Note: Benefits may vary based upon position type and/or level

　　QUALIFICATIONS

　　EDUCATION - Associate's or 2 years of work experience above the minimum qualification

　　EXPERIENCE - 2 Years of Experience

　　CERTIFICATION/LICENSE/REGISTRATION -

　　&nbspCert Coding Specialist (CCS), Cert Professional Coder (CPC), Cert Prof Coder Physician (CPC-P): Must have either Certified Professional Coder (CPC) or Certified Professional Coder (CPC-P) or Certified Coding Specialist (CCS).

　　As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.