Ambulatory Services Director jobs in Pensacola, FL

Ambulatory Services Director directs the staff and programs of the ambulatory services department. Oversees, administers, and coordinates all activities and operations of the ambulatory services for the health care facility, including outpatient clinics, outpatient surgery, and urgent care centers. Being an Ambulatory Services Director develops and introduces approved standards and guidelines for ambulatory services and programs. Maintains working relationships with community agencies. Additionally, Ambulatory Services Director ensures non-emergency care clinics operate within budget and in accordance with performance standards. Requires a bachelor's degree. Typically reports to top management. The Ambulatory Services Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be an Ambulatory Services Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Compliance Auditor - OP/Ambulatory Services
  • Baptist Health Care
  • Pensacola, FL FULL_TIME
  • Job Description

    The Compliance Auditor - OP/Ambulatory Services is responsible for auditing outpatient and ambulatory services claims to federally funded healthcare payors across the Baptist Physician Enterprise (BPE) organization. The position audits and provides feedback and attends BPE department meetings as needed to respond to compliance related coding and billing questions and provide feedback on audit findings and necessary remediation/corrective action requirements. The position analyzes coded records for compliance with federal, state and third-party insurer rules and regulations and note trends. The Compliance Auditor - OP/Ambulatory Services educates physicians and staff on error trends and how to prevent/reduce errors to demonstrate compliance with the False Claims Act, the Federal Overpayment Rule, CMS and Medicaid billing and coding requirements to maximize reimbursement.

    This position is onsite in Pensacola, FL.

    Responsibilities

    • Audits outpatient (OP)/ambulatory service claims to assure a minimum of 95% accuracy and recommends corrective action, education, and training related to audit results.
    • Audits the assignment of International Classification of Diseases 10-CM (ICD-10) diagnostic and ICD-10-PCS procedural codes, Current Procedural Terminology (CPT) codes with modifiers, and other applicable codes in an accurate and productive manner on sampled outpatient/ambulatory cases.
    • Reviews, analyzes and abstracts physician/other documentation for diagnoses, procedures, ancillary testing, medications, laboratory and other services provided.
    • Utilizes Healthicity or other compliance and audit systems, develops and maintains comprehensive audit reports and documentation of each audit performed, cases sampled, and audit findings.
    • Meets with audited providers/department leadership to present audit findings and required remediation/corrective actions to cure coding and billing errors; effectively educates and promotes awareness of compliant billing and coding requirements.
    • Provides information to physicians and other health care staff regarding current coding practices and changes in state and federal regulations and guidelines.
    • Researches and resolves problems referred by auditees and provides prompt feedback.
    • Serves as a subject matter expert and resource for information and clarification on accurate and ethical coding and auditing processes and demonstrates a thorough knowledge of coding guidelines, governmental regulations, and billing requirements.
    • Participates in and provides education sessions as needed on specific coding topics at huddle meetings and other forums.
    • Maintains responsibility for operational excellence; ensures the delivery of quality audit services in accordance with applicable policies, procedures, and professional standards


    Qualifications

    Minimum Education

    • Bachelor's Degree Health Information Management, Five years of related experience maybe considered in lieu of degree, Other related field Required

    Minimum Work Experience

    • 5 years Health care compliance experience including coding compliance Required and
    • 3 years Health care compliance auditing of coding and billing practices Required
    • Experience with the following applications and systems: Healthicity, Altera Sunrise (formerly Allscripts), Hyland MRM, Clintegrity, FinThrive, and MS Office Suite and Excel in particular Preferred

    Licenses and Certifications

    • Certified Coding Specialist (CCS_AHIMA) Upon Hire Required or
    • Certified Coding Specialist-Physician-based (CCSP_AHIMA) Upon Hire Required or
    • Certified Professional Coder (CPC_AAPC) Upon Hire Required or
    • Certified Outpatient Coding (COC_AAPC) Upon Hire Required or
    • Certified Professional Medical Auditor (CPMA_AAPC) Upon Hire Required

    Required Skills, Knowledge and Abilities

    • Strong knowledge of ICD-10/PCS/CPT/HCPCS coding and billing compliance (APC/OPPS) with excellent analytical and data mining skills.
    • Ability to effectively participate and supervise projects, plan and implement programs, and evaluate outcomes.
    • Ability to effectively work directly with various levels of staff (including on-site and remote).
    • Must possess strong communication skills, both written and verbal.
    • Exhibits effective organizational skills, time management, and management of multiple priorities.
    • Ability to make effective and persuasive presentations on complex topics to management and physicians.
    • Ability to teach and mentor coders and physicians on complex coding systems.
    • Ability to have an excellent balance of being highly productive and yet produce high quality work.
    • Must be able to create strong arguments based on solid coding guidelines and audit practices.
    • Ability to interpret federal and state regulations as they relate to coding and compliance.


    About Us

    Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.

     

  • 1 Month Ago

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HOUSEKEEPER AMBULATORY SERVICES (FULL TIME AND PART TIME)
  • Compass Group
  • Navarre, FL FULL_TIME|PART_TIME
  • Crothall Healthcare We are hiring immediately for a full time and part time HOUSEKEEPER AMBULATORY SERVICES position.Location: Baptist Health MOB - 8888 Navarre Parkway, Navarre, FL 32566 Note: online...
  • 27 Days Ago

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HOUSEKEEPER AMBULATORY SERVICES (FULL TIME AND PART TIME)
  • Compass Group Careers
  • Navarre, FL FULL_TIME|PART_TIME
  • Crothall Healthcare We are hiring immediately for a full time and part time HOUSEKEEPER AMBULATORY SERVICES position.Location: Baptist Health MOB - 8888 Navarre Parkway, Navarre, FL 32566 Note: online...
  • 1 Month Ago

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Director of Physician Services I
  • Gulf Coast Medical Care Beach
  • Panama, FL FULL_TIME
  • This position is incentive eligible. Introduction Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about ...
  • 17 Days Ago

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Director of Surgical Services
  • Mountain Management Group
  • Pensacola, FL FULL_TIME
  • This Director will report to the Chief Nursing Officer and will act as a liaison between the Hospital Administration and the staff. The Director is a professional nurse, responsible for directing and ...
  • 22 Days Ago

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Director of Nursing/Resident Services
  • The Beacon at Gulf Breeze
  • Gulf Breeze, FL FULL_TIME
  • Summary: Responsible for enhancing and improving the SRIM experience specifically in Heartful Care for our residents and their families by performing the following duties. Duties and Responsibilities ...
  • 22 Days Ago

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0 Ambulatory Services Director jobs found in Pensacola, FL area

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Registered Nurse (RN) - Eglin AFB, FL
  • Reef Systems
  • Eglin Afb, FL
  • Registered Nurse (RN) - Eglin AFB, FL Background/Experience : Shall read, understand, speak, and write English fluently ...
  • 4/26/2024 12:00:00 AM

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Service Provider Manager (SPM) (Referral Management Clerk) - Eglin AFB, FL
  • Reef Systems
  • Eglin Afb, FL
  • Service Provider Manager (SPM) (Referral Management Clerk) - Eglin AFB, FL Background/Experience : Shall read, understan...
  • 4/26/2024 12:00:00 AM

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REGISTRATION REPRESENTATIVE
  • Baptist Health Care
  • Pensacola, FL
  • Overview: The salary range for this position is from $12.08-15.10/hr dependent upon experience. The Registration Represe...
  • 4/25/2024 12:00:00 AM

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APRN
  • LifeView Group
  • Pensacola, FL
  • Job Description Lakeview Center is a part of the Federal Loan Repayment Program - HRSA.gov About Lakeview Center Lakevie...
  • 4/25/2024 12:00:00 AM

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Physical Therapist Assistant Airport Blvd Pensacola Outpatient Ortho
  • Select Physical Therapy
  • Pensacola, FL
  • Overview: Join the BEST in outpatient physical therapy in Pensacola, FL! Select Physical Therapy is now hiring a full ti...
  • 4/22/2024 12:00:00 AM

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Counselor I - Pathway
  • LifeView Group
  • Pensacola, FL
  • Job Description About Lakeview Center Lakeview Center provides comprehensive behavioral health care to adults and childr...
  • 4/22/2024 12:00:00 AM

Pensacola (/ˌpɛnsəˈkoʊlə/) is the westernmost city in the Florida Panhandle, approximately 13 miles (21 km) from the border with Alabama, and the county seat of Escambia County, in the U.S. state of Florida. As of the 2010 census, the city had a total population of 51,923, down from 56,255 at the 2000 census. Pensacola is the principal city of the Pensacola metropolitan area, which had an estimated 461,227 residents in 2012. Pensacola is a sea port on Pensacola Bay, which is protected by the barrier island of Santa Rosa and connects to the Gulf of Mexico. A large United States Naval Air Statio...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Ambulatory Services Director jobs
$121,091 to $167,664
Pensacola, Florida area prices
were up 1.5% from a year ago

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