Baptist Health Care

  • Pensacola, FL, United States
Baptist Health Care
Baptist Health Care Pensacola, FL, USA
Job Description Must live in one of the approved states: Florida, Alabama, Georgia, Louisiana, Tennessee, Texas (excluding Austin, TX), North Carolina The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This position does not have excessive re-bills. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation is there to support codes/ER charges...

Baptist Health Care Pensacola, FL, USA
Job Description This Compliance Auditor - Hospital IP/OP is responsible for auditing inpatient claims to federally funded healthcare payors across all Baptist Health Care (BHC) inpatient facilities. The position audits and provides feedback as needed and attends inpatient (IP) 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 position analyzes coded records for compliance with federal, state and third-party insurer rules and regulations and note trends. The position 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; accurately reflects mortality; and maximizes reimbursement. The Compliance Auditor - Hospital IP/OP requires a keen eye for detail, excellent communications and...