Environmental Compliance Auditor
AECOM
Coding Quality Auditor
Children's Healthcare of Atlanta
full-time
Posted on:
Location: 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Provides audits and reviews patient charts, corresponding ICD-10 CM and ICD-10 PCS CPT-4 codes, modifiers, HCPCS CPT codes, and charges for appropriateness
- Provides reports to management of findings and recommendations for solutions
- Identifies areas of improvement to enhance internal controls and performance
- Proactively supports safe patient care and a safe environment
- Works with management to educate Coding staff on coding and documentation compliance
- Conducts chart audits for compliance assessment and establishes coding policy and procedure
- Prepares a report of findings for each audit along with an action plan
- Records and monitors corrections to the bill and assists in designing continued education to address deficiencies
- Plans and organizes work assignments to complete audits efficiently
- Identifies problem situations or inadequate charge reconciliation procedures and documents findings
- Keeps management informed of problems or unusual circumstances
- Facilitates improvement in the overall quality and completeness of medical records documentation
Requirements
- Minimum of 5+ years hospital auditing experience
- High school diploma or equivalent
- Preferred: Associates degree in Health Information Management or related field
- Minimum of one certification: Certified Coding Specialist (CCS); Certified Outpatient Coder (COC); Certified Inpatient Coder (CIC); Registered Health Information Technologist (RHIT); Registered Health Information Administrator (RHIA)
- Advanced knowledge of classification and reimbursement systems (e.g., ICD-10 CM, ICD-10 PCS, MS-DRG, APR-DRG, Tricare DRG)
- Advanced knowledge of CPT, HCPCS, modifiers, ICD-10 CM, ICD-10 PCS coding
- Strong analytical, organizational, and communication skills
