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

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

• Responsible for maintaining and ensuring currency of all assigned aircraft, engine, & component records (Helicopter/Fixed-Wing)
• Daily audit of all Maintenance entries on line and in approved maintenance record database
• Ensure that recorded maintenance on aircraft is entered into the computer maintenance tracking system
• Convert aircraft records into digital format for archiving and retrieving
• Review aircraft hours/cycles daily to ensure data is correct
• Ensure accuracy of component removals and replacement in the maintenance database to include accuracy of part numbers and serial numbers
• Research and disposition historical records for aircraft
• Perform periodic aircraft records audit for completeness and accuracy
• Acts as a resource for field personnel in the resolution of record keeping issues
• Other Duties as assigned.

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

Aircraft Records Auditor