• Sr Professional Facility Auditor

    Nuvance Health (Pembroke Pines, FL)


    *Description*

    Must reside in the following states:

    AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, and VA.

     

    *Job Title: Senior Professional Facility Auditor*

    *Company: Nuvance Health*

    *Department: Facility Charging and Coding*

    *Location: Remote*

    *Employment Type: Full-Time | Non-Exempt*

    *Salary Range: $28 – $53/hour* *About the Role*

     

    Nuvance Health is seeking a detail-oriented and experienced *Senior Professional Facility Auditor* to join our Facility Charging and Coding team. In this role, you will perform in-depth audits of facility and professional coding to ensure clinical documentation supports services rendered. Your expertise in medical terminology, anatomy, physiology, regulatory compliance, and coding guidelines will be essential in driving accuracy and improving documentation and billing practices across our organization. *Key Responsibilities*

     

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    Conduct comprehensive audits of ICD-10, CPT4, HCPCS, E/M codes, medical supplies, orders, and UB04/revenue codes for both facility and professional services.

     

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    Lead educational sessions for coders based on audit findings to reinforce compliance with CMS, Medicare, state/federal regulations, and internal policies.

     

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    Stay current with CMS, NGS Medicare, AAPC, and OIG updates, bulletins, and compliance requirements to ensure up-to-date coding standards.

     

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    Collaborate with physician and hospital coding leadership to identify documentation and coding trends, errors, and improvement opportunities.

     

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    Perform accurate coding and charging for complex clinical services, including interventional cardiology, radiology, and vascular procedures.

     

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    Utilize internal systems and applications with a high level of competency to ensure audit accuracy and reporting efficiency.

     

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    Participate in team meetings, ongoing education, and continuous improvement initiatives to support departmental goals.

     

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    Maintain high standards for customer service, teamwork, safety, and compliance.

     

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    Perform additional duties as assigned.

     

    *Qualifications*

    *Required:*

    * CPC,CCS-P,COC,RHIT – With Coding/Auditing experience,RHIA – With Coding/Auditing experience

    * Outpatient Facility Coding - Auditing will include facility coding for Interventional Radiology, Cardiac Cath, Outpatient Surgery, Observation, & Ancillary

    * Advanced knowledge of medical terminology, anatomy, physiology, and federal/state documentation and billing regulations

     

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    Extensive experience auditing both facility and professional medical coding

     

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    Proficiency in coding complex encounters and using relevant coding systems and software

    *Preferred (Not Required):*

     

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    Associate’s degree or higher

    * CIRCC & CCC

     

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    Coursework in Anatomy and Physiology

    *Work Conditions*

     

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    *Physical Effort:* Light – primarily sedentary; may exert up to 10 lbs. of force

     

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    *Working Environment:* Generally pleasant; no significant occupational risks

     

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    *Communication:* Daily interaction including verbal, written, and participation in team meetings

    *Why Join Nuvance Health?*

     

    At Nuvance Health, we are committed to providing outstanding care and support to our patients and teams. Join a collaborative and progressive environment where your skills in compliance, coding, and education can make a measurable impact.

     

    We are an equal opportunity employer

     

    Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.

     

    We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.