Provider Coder Compliance Specialist

1 month ago

Tampa, United States The Tampa General Hospital Foundation Inc Full time

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 documentation for accuracy for billing and claims audits.
* Identify potential compliance risks and vulnerabilities within the organization's operations.
* Performs research on various compliance topics, including for example new and existing regulations, best practices and assess implications on the company.
* Researches and provides feedback related to provider regulatory inquiry.
* Develops training materials and monitoring tools for provider education based on audit finding and regulatory guidance.
* Monitors all operational processes and procedures using a compliance management platform to ensure that the company complies with all legal regulations and ethical standards.
* Maintain records, reports, and documentation related to compliance activities.
* Continue knowledge building of federal and state regulations governing the healthcare industry, developing and coordinating educational programs on elements of compliance.
* Minimum of three (3) years of coding and auditing experience; knowledge of and working experience in professional billing with an associate's degree.
* Certified Professional Coder or Certified Coding Specialist certification required upon Hire.
* Certified Healthcare Compliance certification within 18 months of hire.
* An equivalent combination of education and years of experience.

  • Medical Coder-Outpatient

    1 month ago

    Tampa, United States The Arora Group Full time

    Medical Coder-Outpatient Admin Currently recruiting an ON-SITE Medical Coder-Outpatient in Tampa, Florida to provide support to Active Duty heroes, their families, and retirees at MacDill AFB. The full-time position is Monday-Friday, 8 hours shifts between 7:30am and 4:30pm. Telework/Remote work may be available with base approval. DUTIES OF THE...

  • Medical Coder Certified

    3 weeks ago

    Tampa, United States The Tampa General Hospital Foundation Inc Full time

    Job Summary:The coder will provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards.Required Skills:Highschool Diploma/GED - RequiredCertification RequiredAAPC OR AHIMACCS-P - Certified Coding Specialist-Physician based or CPC -...

  • E/M Coder

    3 weeks ago

    Tampa, United States Medix Full time

    Job Title: Profee E/M and Simple Surgery CoderLocation: RemoteSchedule: Monday - Friday, 8:00 AM - 4:30 PM ESTAbout the Role:We are seeking a detail-oriented and experienced Profee Coder to join our dynamic team! In this role, you will be responsible for coding E/M services and simple surgical procedures, including office-based casting and injections. If you...

  • Medical Coder Certified

    1 month ago

    Tampa, United States The Tampa General Hospital Foundation Inc Full time

    Job Summary: The coder will provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Required Skills: Highschool Diploma/GED - Required Certification Required AAPC OR AHIMA CCS-P - Certified Coding Specialist-Physician based...

  • Professional E/M and Simple Surgery Coder Specialist

    6 days ago

    Tampa, Florida, United States Medix Full time

    Job OpportunityMedix is seeking a skilled Professional E/M and Simple Surgery Coder to join their team. This remote position offers a competitive salary of $65,000 - $85,000 per year, depending on experience.About the Role:We are looking for a detail-oriented and experienced coder to accurately code E/M services and simple surgical procedures. The ideal...

  • Medical Coder Educator

    1 month ago

    Tampa, United States The Tampa General Hospital Foundation Inc Full time

    Serves as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals,...

  • Inpatient Facility Coder

    2 weeks ago

    Tampa, United States LaSalle Network Full time

    We are seeking an experienced and detail-oriented Inpatient Facility Coder to ensure accurate and compliant coding of inpatient medical records. This role involves analyzing clinical documentation and assigning appropriate ICD-10-CM, ICD-10-PCS and DRG codes while adhering to industry standards and regulations. Inpatient Facility Coder...

  • Medical Coder Educator

    1 month ago

    Tampa, United States USF Health Full time

    Serves as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals,...

  • Medical Coder Educator

    3 weeks ago

    Tampa, United States USF Health Full time

    Serves as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals,...

  • E/M Coder

    4 weeks ago

    Tampa, United States Medix Full time

    Job DescriptionJob DescriptionJob Title: Profee E/M and Simple Surgery CoderLocation: RemoteSchedule: Monday - Friday, 8:00 AM - 4:30 PM ESTAbout the Role:We are seeking a detail-oriented and experienced Profee Coder to join our dynamic team! In this role, you will be responsible for coding E/M services and simple surgical procedures, including office-based...

  • Medical Coder II

    3 days ago

    Tampa, United States BayCare Health System Full time

    BayCare is currently in search of our newest Team Member who is passionate about providing outstanding coding service to our community. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a...

  • Medical Coder II

    4 weeks ago

    Tampa, United States BayCare Health System Full time

    BayCare is currently in search of our newest Team Member who is passionate about providing outstanding coding service to our community. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a...

  • BayCare Health System | Medical Coder II

    2 days ago

    tampa, United States BayCare Health System Full time

    BayCare is currently in search of our newest Team Member who is passionate about providing outstanding coding service to our community. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a...

  • Inpatient Coder

    3 weeks ago

    Tampa, United States YES HIM Consulting, Inc Full time

    Job Type Full-timeDescriptionPOSITION: Inpatient CoderSTATUS: Full-TimeLOCATION: Fully RemoteSCHEDULE: Monday through Friday Sunday through Thursday Tuesday through SaturdayFLSA STATUS: Non-Exempt / Eligible for OvertimePOSITION SUMMARY:Code inpatient records with appropriate ICD-10-CM diagnosis and ICD-10-PCS procedure codes while maintaining compliance...

  • Inpatient Coder

    4 weeks ago

    Tampa, United States YES HIM Consulting, Inc Full time

    Job Type Full-timeDescriptionPOSITION: Inpatient CoderSTATUS: Full-TimeLOCATION: Fully RemoteSCHEDULE: Monday through Friday Sunday through Thursday Tuesday through SaturdayFLSA STATUS: Non-Exempt / Eligible for OvertimePOSITION SUMMARY:Code inpatient records with appropriate ICD-10-CM diagnosis and ICD-10-PCS procedure codes while maintaining compliance...

  • Certified Medical Coder

    3 months ago

    Tampa, United States All Medical Allied Full time

    Job DescriptionJob DescriptionPosition: Certified Professional Coder- Job is fully remote, must reside in Florida$23.50 an hour- Temp to Perm PositionMust be certified and have at least two years of billing and coding experience.Job Description:Review patient claims for accuracy and completeness and proactively obtain any missing payer information for...

  • Compliance Auditor

    5 months ago

    Tampa, United States Moffitt Cancer Center Full time

    Req #75300Position Highlights:Compliance Auditors conduct Compliance Department audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including detection and correction of documentation, coding, and billing errors. The Compliance Auditor evaluates the adequacy and effectiveness of...

  • Equipment Compliance Specialist

    3 hours ago

    Tampa, United States Ascendo Resources Full time

    Job Title: Equipment Compliance SpecialistLocation: onsite in Jacksonville, FLDepartment: Compliance/OperationsJob Overview:We are seeking a detail-oriented and organized Equipment Compliance Specialist to join our team. In this role, you will work closely with owner-operators to ensure all equipment complies with federal, state, and local regulations while...

  • Regulatory Compliance Specialist

    5 days ago

    Tampa, Florida, United States K2 STAFFING LLC Full time

    Job SummaryWe are seeking a detail-oriented Regulatory Compliance Specialist to support our clinical research clinics in the Tampa, FL area. The ideal candidate will monitor and perform routine compliance checks on source data, aligning with protocol requirements and regulations.

  • Construction Code Compliance Specialist

    1 week ago

    Tampa, Florida, United States CSA Group Full time

    Job Summary">We are seeking a Construction Code Compliance Specialist to join our team at CSA Group. As a Construction Code Compliance Specialist, you will be responsible for ensuring compliance with building codes and local regulations.ResponsibilitiesInspect structures and perform inspectionsConduct field surveys and prepare cost informationEstablish plan...