Physician Billing (PB) Coding Auditor and Educator

Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network.

Responsibilities

A day in the life of an Physician Billing (PB) Coding Auditor and Educator  at Hackensack Meridian Health includes :

• Comply with established corporate and departmental policies, procedures, objectives, quality assurance methods, and safety codes. Demonstrate compliance with licensing, regulatory, and accrediting agency provisions as required.
• Perform coding quality audits of all records (outpatient, inpatient, procedures, diagnostic testing) to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of the education needs for the providers and staff.
• Create spreadsheets and summaries of audit findings.
• Assist providers, practices, internal / external coding team(s), revenue cycle analysts (RCA), and Training Teams with coding inquiries.
• Clarify complex discrepancies in documentation and coding; assure accuracy and timeliness of coding assignments to expedite the billing process and facilitate data retrieval for physician access and ongoing patient care.
• Perform follow-up complex coding of medical records per internal or external audits identified as Coding discrepancies.
• Meet or exceed productivity and quality standards and established department benchmarks.
• Maintain annual mandatory education requirements specific to the position as mandated by HMH.
• Keep abreast of coding guidelines and reimbursement reporting requirements, new technology, and procedures in accordance with the CMS and Office of Inspector General (OIG) regulations.
• Bring identified concerns to the department manager and Director for resolution.
• Participate in other special projects, duties and / or projects as assigned.
• Adhere to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required :

Education, Knowledge, Skills and Abilities Preferred :

Licenses and Certifications Required :

Licenses and Certifications Preferred :

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Compensation

Starting at $104,166.40 Annually

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to :

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours / week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.