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Compliance Auditor - OP / Ambulatory Services
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- The Compliance Auditor - OP/Ambulatory Services is responsible for auditing outpatient and ambulatory services claims to federally funded healthcare payors across the Baptist Physician Enterprise (BPE) organization.
- The position audits and provides feedback and attends BPE department meetings as needed to respond to compliance related coding and billing questions and provide feedback on audit findings and necessary remediation/corrective action requirements.
- The Compliance Auditor - OP/Ambulatory Services educates physicians and staff on error trends and how to prevent/reduce errors to demonstrate compliance with the False Claims Act, the Federal Overpayment Rule, CMS and Medicaid billing and coding requirements to maximize reimbursement.
- Meets with audited providers/department leadership to present audit findings and required remediation/corrective actions to cure coding and billing errors; effectively educates and promotes awareness of compliant billing and coding requirements.
- 3 years Health care compliance auditing of coding and billing practices Required
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