Auditor

• Travels daily to stores within the region to conduct physical inventories of store merchandise using a handheld scanner
• Reviews audit results with Store Manager and communicates findings to Audit Supervisor and Operations Management
• Supports operational excellence through accurate, efficient inventory audits
• Conduct physical inventory counts using handheld devices, by tag section and category
• Verify merchandise and store assets including cash, lottery, money orders, and deposits
• Identify and pull out-of-code merchandise, price discrepancies, or inventory errors
• Review audit results and discrepancies with Store Management, District Managers and Audit Supervisor
• Perform compliance surveys per operational and financial procedures
• Ensure safe work practices per company rules and regulations
• Communicate professionally with store personnel and audit team
• Work independently in a fast-paced environment, completing multi-task assignments
• Complete and submit all audit documentation accurately and timely

Inventory Auditor

• Performs clinical chart reviews to ensure documentation accuracy by applying established clinical criteria for diagnosing medical conditions.
• Applies their clinical knowledge to evaluate how provider documentation, lab results, diagnostic information, and treatment plans translate into coded data.
• Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using a concurrent query process following ACDIS/AHIMA Guidelines for Compliant Query Writing.
• Communicate with providers and other healthcare team members to clarify information or provide additional documentation when needed.
• Work directly with clinicians to improve the overall quality and completeness of documentation through the query process and/or provider education (correct disease processes and disease severity, complexity, and acuity with an eye towards accurate medical coding).
• Collaborates with team members as part of the clinical review process to promote high accuracy and consistency of results.
• Meets accuracy and productivity metrics to ensure the team achieves established departmental goals.
• Communicates with DaVita leaders to address documentation issues and trends.
• Actively participates in all department meetings as scheduled.
• Conduct individual and large group educational sessions for clinicians and medical coders (or other staff as applicable).
• Partner with data analytics, coding, compliance and education departments for onboarding, ongoing and targeted education for all IKC APPs and IKC partner providers on documentation requirements for Medicare risk adjustment.

Clinical Support Auditor

• Conducts NCQA/URAC related UM and CM file reviews to ensure survey readiness
• Designs and implements quality improvement activities if goals are not met
• Analyzes data and prepares quality management reports in accordance with BH QM principles
• Participates in intra-departmental teams to improve sustainable member outcomes
• Assists in defining opportunities for improvement identified through analysis of trends
• Assists with coordinating improvement activities

Behavioral Health Clinical Auditor

• Management and coordination of multiple external project audits
• Processing complex information from various sources
• Evaluate, review and analyze data using objective criteria
• Collaborate with internal and external audit firms
• Identify and report risks to project stakeholders

Operations Auditor

• Auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed
• Analyzing and auditing claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities
• Utilizing audit tools, auditing workflow systems and reference information to generate audit determinations and formulate detailed audit findings letters
• Maintaining accuracy and quality standards as established by audit management
• Identifying potential documentation and coding errors by recognizing aberrant coding and documentation patterns
• Suggesting and developing high quality, high value, concept and or process improvement and efficiency recommendations

Auditor jobs in Colorado

See all jobs on JobTailor

Inventory Auditor

Clinical Support Auditor

Behavioral Health Clinical Auditor

Operations Auditor

Clinical Validation Auditor – RN, CDI, MS-DRG, AP-DRG, APR-DRG