Provider Auditor/Educator

Insight Global

$75K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 3+ years of recent auditing experience in healthcare
  • Expertise in Urology, General Surgery, GI, Bariatrics, and OBGYN
  • Experience with multispecialty auditing, particularly E/M leveling and surgical coding
  • CPC or COC coding certification from AAPC is essential
  • Understanding of teaching physician guidelines and split/shared visit regulations
  • Familiarity with coding compliance policies and regulatory requirements
  • Must reside in TX, OK, LA, TN, FL, or GA

Responsibilities

  • Build rapport with healthcare providers to facilitate education
  • Conduct audits of provider documentation for accuracy and compliance
  • Educate providers on best practices for clinical documentation
  • Answer questions and clarify coding solutions for providers
  • Support efficient service levels through appropriate documentation
  • Collaborate with the auditing team to ensure effective outcomes
  • Contribute to the development of educational materials for providers

Benefits

  • Medical, dental, and vision insurance starting on the 31st day of employment
  • HSA, FSA, and DCFSA account options
  • 401k retirement plan with employer matching
  • Paid sick leave and/or other statutory paid time off
  • Commitment to diversity and inclusion in the workplace
Full Job Description
A large healthcare employer in Houston, TX is seeking a Physician Educator & Auditor to join their growing team. This team will consist of provider auditors and educators who work closely with the providers to ensure the documentation is correct and effective from a coding and clinical perspective. The ideal candidate needs to be comfortable building rapport with providers and able to help educate them on the best practices for clinical documentation and be able to answer any questions and explain their answers/solutions. He/she will also need to have a good understanding of coding guidelines and documentation and how to support a level of service with the correct and efficient documentation.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Required Skills & Experience

3+ years of recent experience auditing providers

Specialties Needed: Urology, General Surgery, GI, Bariatrics and OBGYN

Multispecialty auditing experience - E/M leveling and surgical coding

Profee coding background CPC or COC Coding Certification from AAPC

Knowledgeable of teaching physician guidelines and coding guidelines about split shared visits

Knowledge of coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process

Must reside in one of the following states: TX, OK, LA, TN, FL, and GA

Nice to Have Skills & Experience

Auditing Credential (CPMA)
Bachelors Degree

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.

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