Full Time
Tampa General Hospital
Hybrid (Tampa, FL, USA)
Job Summary
Under the guidance of the Manager Corporate Compliance and Privacy or Chief Compliance Officer and the Corporate Compliance Director/Privacy Officer the Provider coding compliance specialist. assist in coordinating all aspects of the Corporate Compliance program in the provider space. Is responsible for performing job duties in accordance with the mission, vision, and values of Tampa General Hospital.
Essential Functions:
Effectively identify, validate and ensure corporate compliance for providers through evaluation of billing patterns and routine audits.
Track Provider coding audit results, pass rates, and training. Provide quarterly spreadsheets and reports to management.
Acts has a liaison for the Corporate Compliance and Privacy department with stake holders and vendors throughout the enterprise.
Completes provider claims audit review and summary.
Completes claims audits associated with due diligence. Reviews clinical...