Bachelor's degree in nursing, healthcare administration, business, or related discipline.
Three years of experience in a large healthcare organization.
Knowledge of Medicare/Medicaid laws.
Strong interpersonal, analytical, and computer skills with the ability to work independently.
Experience in assessing clinical documentation and medical record coding, along with data analysis to identify trends.
Excellent written and verbal communication skills for effective interaction with management.
Healthcare auditing experience preferred.
Certification in a related area of expertise or eligibility for certification required.
Responsibilities
Coordinate compliance across all Baptist Health entities with relevant laws and regulations.
Perform independent audits of specific areas/functions to assess compliance with BHSF's Code of Ethics.
Ensure accurate submission of claims in accordance with healthcare industry standards.
Analyze clinical documentation and medical record coding for compliance and accuracy.
Identify trends and outliers through data analysis to improve compliance processes.
Collaborate with management to communicate compliance findings and recommendations.
Benefits
Comprehensive healthcare coverage.
Retirement savings plan options.
Professional development opportunities.
Supportive work environment focused on compliance and ethics.
Potential for career advancement within a large healthcare organization.
Full Job Description
Description
Coordinate compliance of all Baptist Health entities with certain laws, regulations, rules and internal policies applicable to the healthcare industry and the submission of claims through the performance of independent audits of specific areas/functions in order to assess compliance with BHSF's Code of Ethics. Estimated salary range for this position is $77848.65 - $101203.25 / year depending on experience.
Qualifications: Coordinate compliance of all Baptist Health entities with certain laws, regulations, rules and internal policies applicable to the healthcare industry and the submission of claims through the performance of independent audits of specific areas/functions in order to assess compliance with BHSF's Code of Ethics. Estimated salary range for this position is $77848.65 - $101203.25 / year depending on experience.Degrees:
Bachelors.
Additional Qualifications:
A bachelor degree in nursing, healthcare administration, business or related discipline.
Three years experience working in a large healthcare organization.
Knowledge of Medicare/Medicaid laws.
Superior interpersonal, analytical and computer skills, as well as the ability to work independently.
Must have the appropriate background and knowledge needed to assess clinical documentation and medical record coding and to analyze data and identify trends and outliers.
Excellent written and verbal communication skills that will support professional communication with all levels of management.
Healthcare auditing experience preferred.
Certification in a related area of expertise or eligibility for certification required.
Minimum Required Experience: 3 YearsDegrees:
Bachelors.
Additional Qualifications:
A bachelor degree in nursing, healthcare administration, business or related discipline.
Three years experience working in a large healthcare organization.
Knowledge of Medicare/Medicaid laws.
Superior interpersonal, analytical and computer skills, as well as the ability to work independently.
Must have the appropriate background and knowledge needed to assess clinical documentation and medical record coding and to analyze data and identify trends and outliers.
Excellent written and verbal communication skills that will support professional communication with all levels of management.
Healthcare auditing experience preferred.
Certification in a related area of expertise or eligibility for certification required.
Minimum Required Experience: 3 Years
About Baptist Health South Florida
Baptist Health South Florida is a faith-based, not-for-profit healthcare organization and clinical care network in Miami as well as Broward and Palm Beach Counties. Baptist Health has 11 hospitals and in excess of 100 physician practices and outpatient facilities.
