Charge Integrity Associate 1, BHPC Support, FT, 7:30A-4P

Baptist Health South Florida • Coral Gables, FL

12h

About The Position

Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, Baptist Health has been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. The culture at Baptist Health is rooted in purpose, with team members creating personal connections with colleagues and forming meaningful relationships with patients and their families. The Charge Integrity Associate 1's primary responsibility is to coordinate billing services, specifically physician billing services. This role requires working in a fast-paced environment and multitasking. The associate is responsible for handling payments for physician billing services, and for physician practice and home health, coordinating billing services and providing diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Key duties include entering patient encounters into the practice management billing application, communicating with various internal teams, understanding ICD-10, CPT, and associated modifiers for successful encounter processing, and staying updated with CMS guidelines. The associate is also responsible for maintaining and clearing worklists in a timely manner.

Requirements

• High School Diploma, Certificate of Attendance, Certificate of Completion, GED or equivalent training or experience
• 2 Years of health care experience
• Knowledge of Microsoft Systems Word, Excel, Power Point and Access
• Must be detail-oriented team player with excellent written and communication skills
• Experience in Medical Record review for documentation and bill auditing
• Proficient in English and Spanish
• Able to foster/maintain a strong professional relation with physicians, hospital leaders, staff and patients
• Must be able to communicate effectively with other departments in order to resolve pending/missing information on encounters to expedite the timely transmission to payers
• Excellent Time- Management Skills
• Ability to multi-task and work under pressure in order to meet stringent deadlines
• Understanding of ICD-10, CPT and associate modifiers to successfully process encounters
• Staying up to date with CMS guidelines

Nice To Haves

• Background in coding experience in other released areas such as collections, refunds, and reviews of claims and understanding of Charge Review responsibilities

Responsibilities

• Coordinate billing services
• Responsible for physician billing services
• Handle payments for physician billing services
• Provide diagnostic and procedural codes to individual patient health information for data retrieval, analysis and claims processing
• Enter patient encounters to the practice management billing application
• Communicate with various teams within the organization
• Maintain and clearing worklist within a timely manner

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees