Pro Fee Audit Educator
3 weeks ago
The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit
Under limited supervision, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. Collaborates with clinical operations, CBO and the Compliance Office. Provides corresponding training and support to providers, professional fee billing staff, clinic staff, administrators, and other personnel on third party payer documentation and billing requirements. Develops coding documentation materials to be used as training tools. Assists in responding to inquiries from providers and staff. Assists in preparing periodic coding updates materials for providers and staff.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
- Conducts independent reviews/audits on the adequacy of medical record documentation to support the codes selected by providers or by billing office coders.
- Analyzes documentation or coding patterns by a provider, division or department that poses a compliance risk and recommended solutions to address the problem(s).
- Provides feedback to providers on the results of their medical record documentation reviews and gives targeted training as needed, either individually or to groups.
- Assists in the development of medical record documentation standards and requirements related to clinical services billing. Develops training and educational materials to address documentation and coding deficiencies and educate staff and providers on new requirements.
- Conducts concurrent coding reviews for coding staff, and provides timely feedback to the Director.
- Conduct audits of provider documentation on an ad-hoc basis as requested by the Director.
Education and Experience
- High school diploma required
- CPC coding certification is required. CCS, CCS-P certifications preferred but not required.
- CPMA certification preferred.
- Five (5) years of coding experience and two (2) years of auditing/billing compliance experience required.
Knowledge, Skills and Abilities
- Maintains current knowledge of CPT, ICD-10 and HCPCS coding and modifiers for appropriate reporting of patient services.
- Demonstrated knowledge of MS Office software applications such as Microsoft Excel and Microsoft Word is required.
- Ability to maintain a culture of excellent customer service, open and friendly staff relations with all levels of staff.
- Effective verbal and written communication and listening skills.
All your information will be kept confidential according to EEO guidelines.
-
Pro Fee Audit Specialist
2 weeks ago
Linthicum Heights, Maryland, United States University of Maryland Medical System Full timeJob Title: Pro Fee Audit EducatorAt the University of Maryland Medical System, we are seeking a highly skilled Pro Fee Audit Educator to join our team. As a key member of our clinical operations team, you will play a critical role in ensuring the accuracy and compliance of medical records documentation, coding, and billing for all providers across our...
-
Pro Fee Audit Educator
3 weeks ago
Linthicum, United States University of Maryland Medical System Full timeThe University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who...
-
Pro Fee Audit Educator
3 weeks ago
linthicum, United States University of Maryland Medical System Full timeThe University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who...
-
Linthicum Heights, Maryland, United States University of Maryland Medical System Full timeJob SummaryThis role requires a strong understanding of compliance regulations and the ability to develop and implement education and training programs to ensure compliance with federal and state laws and regulations. The ideal candidate will have a background in business administration or healthcare and experience in compliance, internal audit, billing,...
-
Safety and Security Specialist
1 month ago
Arlington Heights, Illinois, United States Bass Pro Shops Full timeSafety and Security Coordinator Job SummaryWe are seeking a highly motivated and detail-oriented Safety and Security Coordinator to join our team at Bass Pro Shops. As a key member of our distribution center team, you will be responsible for ensuring a safe and secure work environment for our employees and customers.Key Responsibilities:Conduct daily audits...
-
Linthicum Heights, United States University of Maryland Medical System Full timeThis position requires 2 days a week in the office, Monday's being mandatory. The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and...
-
Linthicum Heights, United States University of Maryland Medical System Full timeThis position requires 2 days a week in the office, Monday's being mandatory. The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and...
-
Compliance Education and Training Specialist
1 month ago
Linthicum Heights, Maryland, United States University of Maryland Medical System Full timeJob SummaryWe are seeking a highly skilled Corporate Compliance Education and Training Analyst to join our team at the University of Maryland Medical System. As a key member of our compliance team, you will play a critical role in ensuring that our organization remains compliant with federal and state laws and regulations.Key ResponsibilitiesCoordinate...
-
Seasonal Sales Associate
3 weeks ago
Richmond Heights, Virginia, United States Bass Pro Inc Full timeSeasonal Cashier Job DescriptionAbout the Role:We are seeking a Seasonal Cashier to join our team at Bass Pro Shops. As a Seasonal Cashier, you will be responsible for providing exceptional customer service and ensuring a pleasant shopping experience for all customers.Key Responsibilities:Support a strong commitment to world-class customer service and ensure...
-
Seasonal Sales Associate
2 weeks ago
Richmond Heights, Virginia, United States Bass Pro Inc Full timeSeasonal Cashier Job DescriptionAbout the Role:We are seeking a Seasonal Cashier to join our team at Bass Pro Shops. As a Seasonal Cashier, you will be responsible for providing exceptional customer service and ensuring a pleasant shopping experience for all customers.Key Responsibilities:Support a strong commitment to world-class customer service and ensure...
-
linthicum, United States University of Maryland Medical System Full timeThis position requires 2 days a week in the office, Monday's being mandatory.The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and...
-
Privacy Compliance Specialist
4 weeks ago
Linthicum Heights, Maryland, United States University of Maryland Medical System Full timeJob Title: Privacy AnalystCompany: University of Maryland Medical SystemThe University of Maryland Medical System (UMMS) is a leading academic private health system dedicated to delivering high-quality care and putting innovation into practice at the bedside.Job Summary:This position requires on-site work on Mondays, Tuesdays, and Wednesdays. The successful...
-
IT Audit Expert
1 month ago
Inver Grove Heights, Minnesota, United States CHS Full time**About CHS**CHS Inc. is a leading global agribusiness owned by farmers, ranchers, and cooperatives across the United States that provides grain, food, and energy resources to businesses and consumers worldwide.**Job Summary**CHS is seeking an IT Internal Audit Expert to help preserve and enhance enterprise value through actionable insights. This position...
-
IT Audit Expert
2 days ago
Inver Grove Heights, Minnesota, United States CHS Full timeJob Title: IT Internal Audit ExpertCHS Inc. is a leading global agribusiness that provides grain, food, and energy resources to businesses and consumers worldwide. We serve agriculture customers and consumers across the United States and globally. Our company has 10,000 employees, with most based in the United States, but we also have a presence in 19...
-
Governmental Audit Senior
2 weeks ago
Sterling Heights, Michigan, United States UHY ADVISORS INC Full timeJob SummaryWe are seeking a highly skilled Governmental Audit Senior to join our team at UHY Advisors Inc. As a key member of our Governmental Audit & Not-For Profit team, you will be responsible for providing exceptional audit services to our clients in the governmental sector.Key ResponsibilitiesServe as a subject matter expert in governmental audit and...
-
Hybrid Wholesaler
2 weeks ago
Grandview Heights, United States Nationwide Private Client Full timeAre you passionate about being part of a team that delivers extraordinary care to help individuals and businesses prepare for and protect their retirement? If so, then Nationwide Financial could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for...
-
Managing Director
1 month ago
Sterling Heights, United States UHY Full timePosition Summary THE FOCUS IS YOU As an Audit Managing Director, you will hold a pivotal leadership role responsible for driving the strategic direction of our audit practice, specifically in the governmental & nonprofit sector. Your extensive experience in audit and assurance, combined with exceptional leadership skills, will shape the firm's...
-
Golf Shop Assistant
2 weeks ago
Sterling Heights, Michigan, United States NOVA Parks Full timeJob Title: Pro Shop AttendantJob Summary:The Pro Shop Attendant is a key member of our team at NOVA Parks, responsible for providing exceptional customer service and ensuring the smooth operation of our golf pro shop. As a Pro Shop Attendant, you will be the first point of contact for our customers, handling inquiries, and providing information and...
-
Privacy Compliance Specialist
2 days ago
Linthicum Heights, Maryland, United States University of Maryland Medical System Full timeJob SummaryWe are seeking a highly skilled Privacy Analyst to join our Corporate Compliance and Business Ethics Group. This role will be responsible for managing complex privacy incidents, developing and implementing privacy policies and procedures, and ensuring compliance with federal and state privacy laws and regulations.Key ResponsibilitiesManage and...
-
Privacy Analyst
3 weeks ago
Linthicum Heights, Maryland, United States University of Maryland Medical System Full timeJob DescriptionUniversity of Maryland Medical System (UMMS) is seeking a skilled Privacy Analyst to join our Corporate Compliance and Business Ethics Group. As a key member of our team, you will play a critical role in ensuring the confidentiality, integrity, and security of sensitive patient information.Key Responsibilities:Manage complex privacy incidents...
