Physician Audit Specialist
Beaumont Hospitals - Royal Oak, MI

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Under the direction of MISD Corporate Coding/BPP Abstract, this position provides expertise and quality assurance monitoring through audits and education sessions for multiple specialties. Responsible for ensuring integrity in accordance with regulatory risk areas for physician practices. Includes providing expertise in CPT4, ICD9 coding guidelines, Medicare Teaching guidelines, additional payer regulations, requirements and policies for professional services. Provides educational programs for physicians, and others as required. Reviews and make recommendations of new CPT4, ICD9 codes, has working knowledge of ICD10 and provides recommendations for physician practices annual encounter review.

Required qualifications:
Bachelors degree or equivalent education and work experience (e.g. Associates degree with 5-7 relevant years of experience). At least one of the following coding certifications: CPC, CCS-P, RHIA or RHIT. Minimum five (5) years professional healthcare experience (e.g. coding). Comprehensive knowledge of coding for professional services and E/M. Experience with multi-specialities. Excellent oral and written skills. Self-motivated and independent and analytical thinking skills. Must be able to function independently, organize more than one project at a time, work under stress and within defined deadlines and maintain high-level integrity regarding confidentiality. Computer application skills (Windows, Word, Excel, PowerPoint).

Preferred qualifications: Previous audit experience.


Beaumont Hospitals - 2 years ago - save job - copy to clipboard
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Beaumont Health System is a three-hospital regional health system with more than 1,725 beds and more than 3,700 physicians along with...