Medical Record Auditor I will be responsible for assisting/ conducting audits of medical records, coding and billing information. The auditor will look at both departments inside the hospital, outside departments and physician records and billing. Auditors will put together informational reports of finding and relay the information to the appropriate source. Reporting will be generating to help track which providers, locations or target areas need to be audited. The medical auditor will assist in putting together appeals/ rebuttals for external auditing sources. Auditor should have audits completed within a timely manner that is set up with the supervisor/ manager. Auditor will be provided as education as directed by the Auditing Integrity Department manager.
Education/Certification: High School Diploma or GED, Certified Professional Coding Certificate or Certified Professional Auditing Certificate
Experience: Minimum of 3 years of coding experience. Working knowledge of CPT, ICD-10-CM, ICD-10-PCS, HCPCS.
Equipment/Technology: Knowledge of Excel, Microsoft Word, Medical Practice management software, Auditing software
Language/Communication: Effective communication to gather information and relay findings. Employee should have good communication with supervisor/ manager to ensure projects are completed within the appropriate time frame.
Mathematical Skills: Basic understanding of math and concepts to calculate percents of accuracy and deficiencies.
Mental Capabilities: Can concentrate for long periods of time in order to complete assigned tasks with a better than average attention span in order to listen, read and remember verbal and written instructions. Can understand input from the supervisor and/or manager concerning errors and instructions.
Interpersonal: Ability to work well with others and follow directions
Performance: Must be able to handle conflict issues with both staff and providers. Hold oneself to high standards and professionalism while performing audits and providing education.
Click the checkbox next to the jobs that you are interested in.
Diagnosis and Treatment Planning Skill
Medical Specialty: Family Practice Skill
Medical Coding Auditor - Audit Integrity
MOUNTAIN VIEW HOSPITAL LLC, Idaho Falls, ID
Cobblestone Hotel and Suites Alpine, WY, Alpine, WY