Auditor-Full-time Days

Facility Cape Fear Valley Medical Center Location Fayetteville, North Carolina Department PFS Training Job Family Clerical Work Shift Days (United States of America) Summary Provide quality review and continuous improvement of accounts. Accountable for monitoring the adherence to policy and procedures for the departments, ensuring the appropriate number of accounts are monitored, audited, and reviewed. This role will focus primarily on auditing of accounts. Major Job Functions The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time: Work Epic workqueues for Medicare accounts and monitor accuracy of Medicare accounts Conduct audits of Medicare Secondary Payer Questionnaire ensuring accuracy prior to billing Conduct audits of accounts for accurate registration information including demographic information, employers, patient contacts, PCP, guarantor, claim information, insurance coverage and completion of registration forms Annotate errors, make corrections or send errors to employee and their supervisor ensuring timely processing of claims Methodically track errors for training opportunities and notify manager of any trends Utilize payer websites or place calls to payer to verify insurance coverage if RTE is unable to provide eligibility information Maintain patient confidentiality and privacy by accessing patient information only to the extent necessary to fulfill assigned duties; patient information must be kept private, confidential, and secure; all lists, reports, files, and documents must always be properly secured and stored Document accounts with QA information to ensure HIPAA compliance Partner with Revenue Cycle trainers to identify proactive changes to update and maintain appropriate training content Maintain accurate notes and electronic documentation of findings; document requirements, expectations and/or deadlines to ensure accurate and timely completion of tasks Meet productivity standards designated by management with minimal errors Comply with all required policies, regulations, and procedures applicable to the learning process Participate in special projects as needed Other duties as assigned Minimum Qualifications The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:

Education and Formal Training:

High school diploma or equivalent required Associate's degree preferred

Work Experience:

2 years experience in revenue cycle, healthcare industry, patient access or billing required 1 year Epic experience preferred 1 year experience with QA monitoring preferred

Knowledge, Skills, and Abilities Required:

Excellent interpersonal skills, verbal, and written communication skills Strong knowledge of compliance needs related to HIPAA privacy rules, CMS claim submission rules and other standard regulatory guidelines for hospital billing Knowledge of insurance preferred Ability to function independently and prioritize work within established policies Highly organized and possess excellent time management skills Strong attention to details Excellent analytical and critical thinking skills

Physical Requirements:

Ability to communicate orally, see and hear to collect information Subject to eyestrain due to the many hours spent looking at a computer screen Long periods of sitting Noise level is low to moderate Required Licenses and Certifications Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity For exceptional healthcare come to Cape Fear Valley Health where caring employees are committed to integrity, patient-centeredness and excellence throughout the entire healthcare process. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. Our diverse team of doctors, nurses and staff work together to create a better experience for every patient, every time. Cape Fear Valley is a 950-bed, 8-hospital regional health system, the 8th largest in North Carolina, with more than 1 million inpatient and outpatients annually. A private not-for-profit organization with over 7,000 employees and 850 physicians. Our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond. Our medical facilities include Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Central Harnett Hospital, Betsy Johnson Hospital, as well as more than 60 medical offices and specialty care clinics spread throughout the Cape Fear region.