SaltLakeCityRecruiter Since 2001
the smart solution for Salt Lake City jobs

Provider Educator/Auditor

Company: Steward Health Care
Location: Salt Lake City
Posted on: February 16, 2020

Job Description:

Location: Steward Medical Group - WestPosted Date: 1/28/2020About Steward Health Care SystemSteward Health Care is the largest private, tax-paying physician-led health care network in the United States. Headquartered in Dallas, Texas, Steward operates 35 hospitals in the United States and the country of Malta that regularly receive top awards for quality and safety. The company employs approximately 42,000 health care professionals. The Steward network includes multiple urgent care centers and skilled nursing facilities, substantial behavioral health services, over 7,900 beds under management, and approximately 2.2 million full risk covered lives through the company's managed care and health insurance services.Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, New Jersey, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.Summary:
Responsible for training in CPT assignment for on-boarding physicians and mid-level providers; Auditing new providers as described per policy and re-educating as needed. Audit and educate coding staff as necessary. Reviewing and validating a variety of charges generated from the providers. Performs in accordance with the policies and procedures. Follows standards for ethical business conduct. Conducts self as a positive role model and team member. Participates in facility committees, meetings, in-services, and activities as requested.Responsibilities:
--- Collaborate with other departments to resolve billing problems related to coding, including those stemming from CCI edits and the outpatient code editor (OCE).
--- Perform coding, documentation, and billing audits in focus areas as assigned, including summarizing audit findings, and proposing recommendations. Oversee implementation of audit recommendations as appropriate.
--- Perform follow-up audits and reviews to monitor and validate ongoing compliance with applicable rules and guidelines.
--- Maintain excellent intradepartmental communication; maintain good rapport with Practice Management and other departments and employees throughout Steward.
--- Educate practices/providers on basic coding, documentation, and billing issues related to appropriately charging for, and documenting the services delivered in compliance with applicable rules and regulations.
--- Educate key stakeholders on significant matters related to coverage decisions, coding issues, and new or revised regulations.
--- Based on experience and industry knowledge, make recommendations to streamline processes related to accurate and appropriate revenue capture for services performed, ensuring compliance with all appropriate regulations and guidelines.
--- Complete required continuous training and education, including department specific requirements.
--- Maintains certifications and stays current on industry trend.Required Knowledge/Skills:
--- Experience utilizing Microsoft Office required.
--- Experience should include thorough knowledge of health care operations, physician practice reimbursement including RVUs, charging practices, governmental coding requirements including extensive knowledge of CPT / HCPCS / ICD and modifiers, and healthcare financial systems.
--- Experience in researching, interpreting and applying Medicare, Medicaid, MASSHEALTH, and other third party payer regulations is essential.
--- Superior analytical skills, excellent writing, organizational and interpersonal skills.
--- Demonstrated highly developed project management skills, along with excellent problem solving and analytical skills, and verbal and written communication skills.Education/Experience/Etc.:
--- Bachelor's degree is strongly preferred.
--- 3+ years of related work experience is preferred.
--- CPC or CCS-P required. Certification of healthcare compliance (CHC) strongly preferred.

Keywords: Steward Health Care, Salt Lake City , Provider Educator/Auditor, Accounting, Auditing , Salt Lake City, Utah

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Accounting, Auditing Jobs


Accounting Director
Description: Location: Salt Lake Regional Medical CenterPosted Date: 2/20/2020For more than a century, Salt Lake Regional Medical Center has provided high-quality healthcare for residents of the Salt Lake Valley. (more...)
Company: Steward Health Care
Location: Salt Lake City
Posted on: 02/26/2020

ACCOUNTING SUPERVISOR
Description: Job Description ul li Supervise and guide multiple accountants in outsourced accounting function li Assist in the monthly close process li Review and preparation of balance sheet reconciliations (more...)
Company: eBay
Location: Draper
Posted on: 02/26/2020

Credentialed Tax Expert - CPA
Description: Job DescriptionOverview If you are a highly motivated individual with an active credential CPA/EA/Practicing Attorney and excellent communication skills, we need you to help our customers complete their (more...)
Company: Intuit
Location: Provo
Posted on: 02/26/2020


Remote Credentialed Tax Professional
Description: OverviewIf you are a highly motivated individual with an active credential CPA/EA/Practicing Attorney and excellent communication skills, we need you to help our customers complete their taxes using (more...)
Company: Intuit
Location: Ogden
Posted on: 02/26/2020

Senior IT Auditor
Description: About the Company--- br br Nu Skin was founded in 1984 by a group of friends who wanted to innovate the world of skin care and help people succeed. They built a line of personal care products made (more...)
Company: Nu Skin
Location: Provo
Posted on: 02/26/2020

Relationship Banker
Description: Job Description: br br At Bank of America, we handle the finances of over 67 million client relationships every day, including helping them save, borrow and invest for today and for their future. (more...)
Company: Bank of America
Location: Draper
Posted on: 02/26/2020

Accounts Receivable Clerk
Description: DescriptionAccountemps is looking for an ambitious and detail-oriented Accounts Receivable Clerk. Out team is looking for someone who is organized and an excellent team-player to fill this temporary to (more...)
Company: Robert Half Accountemps
Location: Lehi
Posted on: 02/26/2020

Accounts Payable Clerk
Description: DescriptionAccountemps is seeking an Accounts Payable Clerk to join a well-established company located in Orem. This is a temporary to full-time position. In this role you will process checks, resolve (more...)
Company: Robert Half Accountemps
Location: Orem
Posted on: 02/26/2020

Remote Credentialed Tax Professional
Description: Job DescriptionOverview If you are a highly motivated individual with an active credential CPA/EA/Practicing Attorney and excellent communication skills, we need you to help our customers complete their (more...)
Company: Intuit
Location: Provo
Posted on: 02/26/2020

Tax Preparer Assistant
Description: What you'll do...The Tax Preparer Assistant will assist tax preparers by starting and closing the tax interview. Begin the tax return by entering
Company: H&R BLOCK
Location: Salt Lake City
Posted on: 02/26/2020

Log In or Create An Account

Get the latest Utah jobs by following @recnetUT on Twitter!

Salt Lake City RSS job feeds