Compliance Auditor - FT - ROC

Compliance Auditor - FT - ROC

STHS-ROC

Edinburg, TX Job Details Full-time 1 day ago Qualifications Inpatient Customer service Physiology knowledge Healthcare documentation compliance audits Research Medical coding in outpatient clinics Retrospective medical coding audits Certified Coding Specialist Computer skills Acute care Medical terminology Medical record review for billing accuracy Internal audits

Full Job Description Responsibilities:

POSITION SUMMARY

Responsible for improving the overall quality, completeness and appropriate utilization of systems used to perform coding functions for the South Texas Region. Compliance Auditor focuses on coding compliance with the rules and regulations of regulatory agencies, compliance with South Texas Region/UHS policies and procedures. Promotes a partnership between the concurrent clinical reviewers, medical record coders, and physicians to improve documentation and reimbursement for each facility. Supports and promotes the accuracy and completeness of the clinical information used for measuring and reporting physician and hospital outcomes to reflect the patient's true severity of illness, intensity of care, and risk of mortality. Responsible for internal audits, appeals, research on coding guidelines and/or regulations. Communicates with Coding Manager, Supervisors and HIM management to accomplish hospital's objectives. Educates members of the health care team on an ongoing basis regarding coding compliance and new or updated coding clinics and assists with coding needs when needed. Position is a remote position with occasional need to work from the facility and/or attend meetings.

Qualifications:

QUALIFICATIONS

1. 5 to 8 years acute care inpatient and outpatient coding experience required 2. Excellent written and verbal communication skills required. 3. One to two years experience in leadership role, preferred. 4. Auditing experience of acute care IP/OP coding required. 5. Demonstrates ability to review all coding skills related to assignment of diagnosis, procedures and DRG's 6. Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract pertinent information from records and to provide meaningful information by telephone or letter in replying to inquiries. 7. Medical terminology, anatomy and physiology required. 8. Computer skills and excellent customer service skills are required. 9. Ability to recognize, analyze and resolve process problems. 10. Flexibility of scheduled and ability to work remotely. Must be able to provide high speed internet at place of residence at the expense of the employee, with a work area that is in adherence to privacy and security policies and procedures. 11. Must demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.

EDUCATION / LICENSURE

1. Certified Coding Specialist certification from AHIMA required 2. Associates Degree with RHIT certification from AHIMA preferred 3. Bachelors Degree with RHIA certification from AHIMA a plus 4. Able to travel amongst the facilities. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449. Authorized by Corporate Human Resources