Audit & Medical Records Manager

2 weeks ago

Nashville, United States Upperline Health Full time
Job DescriptionJob Description

About Us
Upperline Health launched in 2017 and is the nation’s leading comprehensive and coordinated lower extremity healthcare organization. Upperline Health provides the highest quality integrated health services to more patients in need through a skilled and compassionate team. We specialize in targeting patients at risk of developing complications and intervening earlier with an innovative care management approach to prevent more serious consequences. Upperline Health is based out of Nashville, TN and currently has practices in Alabama, California, Florida, Georgia, Indiana, Kentucky, and Tennessee.
 This is a hybrid role based in Nashville with flexibility to work remotely.
About the Audit and Medical Records ManagerUpperline Health is seeking an Audit and Medical Records Manager to manage the internal audit process for our physician documentation of diagnosis and coding for all services rendered to ensure accuracy and compliance with all coding and billing guidelines and regulatory requirements. This Manager will also manage the medical records team for all external medical records requests. The Revenue Cycle department is the fastest growing area of our company, and we are looking for a strong performer who is an outstanding communicator and team player, who demonstrates strong attention to detail and thrives in a collaborative and fast-paced environment. Ideal candidates will have prior experience as a managing a corporate internal auding program and all legalities of release of personal health information, as well as knowledge of coding and billing guidelines, and the ability to confidently communicate and defend audits with medical providers and government agencies.

What You’ll Do:
  • Manage regular review consistent metrics, identify and correct errors in documentation for a high volume of physician’s charts in the EMR.
  • Ensure all coding and documentation are completed accurately to optimize reimbursement.
  • Utilize grading rubric of defined metrics in conducting thorough assessment chart documentation.
  • Regularly review consistent metrics, identify and correct errors in coding review for a small RCM surgical coding team.
  • Utilize grading rubric of defined metrics to ensure coding teams’ efficiency and accuracy.
  • Prepare and present reports of audit findings to Chief Medical Officer, VP of Revenue Cycle, and appropriate stakeholders.
  • Confidently communicate with medical providers as well as senior management.
  • Assist in developing corrective action plans for non-compliant physicians.
  • Provide detailed documentation and provide direct education to providers and staff for required adherence to internal compliance metrics and regulatory guidelines.
  • Effectively communicate reasons behind insufficient results to individual physicians.
  • Provide appropriate training for physicians and staff to help eliminate future errors and maintain compliance.
  • Review potential groups to assess relative coding and compliance risk
  • Create checklists, review and aggregate pre-acquisition data, which includes charts received in various formats.
  • Prescreen high risk compliance items and notes prior to claims being created.

Qualifications of the Medical Chart Auditor:
  • 5-7 years previous chart auditing experience is required; Bachelor's degree preferred
  • CPC certification is required, CPMA certification strongly preferred
  • Orthopedic and/or podiatric coding is a plus
  • Experience working in EMR systems, Athena EMR is preferred
  • Proficient in Microsoft Excel
  • Updates job knowledge and obtains required CEU’s
  • Inpatient and outpatient surgery coding experience is required
  • Strong understanding of compliance, audits, and best practices in coding
  • Ability to analyze a high volume of medical information accurately and efficiently
  • Demonstrated ability as a consistent, patient, and effective communicator to educate in an informational, influential, concise, and personable manner
  • Working knowledge of resources to utilize
  • Values accuracy and urgency critical to chart auditing in relation to compliance, RCM, and Upperline Health
  • Excellent written communication skills with success providing written documentation
  • Self-motivated with superior attention to detail

Benefits
Comprehensive benefit options include medical, dental and vision, 401K (matching), and PTO.

Compensation
Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience.

Job Type: Full-time

Powered by JazzHR

oF9JUioMCx

  • Audit Manager

    2 weeks ago

    Nashville, United States FORVIS Full time

    Description & Requirements Our firm provides assurance services that go beyond the compliance function. Alongside the rest of our team, you will bring credibility to our client's financial picture, communicate information objectively and clearly, and provide insight to help clients improve their businesses. If relationships are important to you, and you...

  • Medical Records Clerk

    3 weeks ago

    Nashville, United States Dialysis Clinic, Inc. Full time

    Overview Founded in 1971, Dialysis Clinic, Inc. (DCI) remains the nation’s largest non-profit dialysis provider. With a team of approximately 5,000 talented and caring employees serving across the United States, DCI provides care to nearly 15,000 patients on dialysis and 3,500 patients with chronic kidney disease. We offer a variety of services...

  • Senior Audit Manager

    2 days ago

    Nashville, United States Insight Global Full time

    This person will assist in developing the annual audit plan, execute and schedule audit engagements, and review the output of subordinates. Additionally, they monitor team activities, generate supervisory committee presentations, and contribute to maintaining effective risk management and governance processes. Workday CPA Big Four experience 5 years of...

  • Audit Senior Manager

    3 weeks ago

    Nashville, United States FORVIS Full time

    Description & Requirements Our firm provides assurance services that go beyond the compliance function. Alongside the rest of our team, you will bring credibility to our client's financial picture, communicate information objectively and clearly, and provide insight to help clients improve their businesses.If relationships are important to you, and you...

  • Quality Review and Audit Senior Representative

    3 days ago

    Nashville, United States Cigna Full time

    Job Description This is a temporary role through PRO Unlimited with one of the world's leading health insurance companies. Quality Review & Audit Senior Representative Chart Administration & Interoperability Job Summary: The Quality Review & Audit Senior Representative supports Cigna's Individual and Family Plans (IFP) Risk Adjustment Chart Administration...

  • Audit Senior

    1 week ago

    Nashville, United States ED01 Elliott Davis, LLC Full time

    Elliott Davis pairs forward-thinking tax, assurance and consulting services with industry-leading workplace culture. Our nine offices — located in the fastest growing cities in the US — are built on a foundation of inclusivity, collaboration, and collective growth. We work daily to provide exceptional service to our people, customers, and our...

  • Senior Associate, Audit

    2 weeks ago

    Nashville, United States Frazier & Deeter Full time

    Join Frazier & Deeter and be a part of a rapidly growing Top 50 accounting & advisory firm that has been repeatedly named a Best Firm to Work For, a Best Firm for Women and a Pacesetter firm among U.S. accounting firms. With offices in Atlanta, Alpharetta, Charlotte, Las Vegas, London, Nashville, and Tampa, there is a spot for you! We serve clients of all...

  • Audit Partner

    3 weeks ago

    Nashville, United States Frazier & Deeter Full time

    Join Frazier & Deeter and be a part of a rapidly growing Top 50 accounting & advisory firm that has been repeatedly named a Best Firm to Work For, a Best Firm for Women and a Pacesetter firm among U.S. accounting firms. With offices in Atlanta, Alpharetta, Charlotte, Las Vegas, London, Nashville, and Tampa, there is a spot for you! We serve clients of all...

  • SOX Internal Audit Associate

    4 days ago

    Nashville, United States FirstBank Full time

    Description Summary: The SOX Internal Audit Associate is an entry-level audit position responsible for assisting in the assessment and reporting of the company's key operational and finance activities and internal controls. With support from management and the team, the SOX Internal Audit Associate will help identify and assist in documenting existing...

  • IT Audit Senior Associate

    1 week ago

    Nashville, United States Frazier & Deeter Full time

    Join Frazier & Deeter and be a part of a rapidly growing Top 50 accounting & advisory firm that has been repeatedly named a Best Firm to Work For, a Best Firm for Women and a Pacesetter firm among U.S. accounting firms. With offices in Atlanta, Alpharetta, Charlotte, Las Vegas, London, Nashville, and Tampa, there is a spot for you! We serve clients of all...

  • IT Audit Senior Associate

    12 hours ago

    Nashville, United States Frazier & Deeter Full time

    Join Frazier & Deeter and be a part of a rapidly growing Top 50 accounting & advisory firm that has been repeatedly named a Best Firm to Work For, a Best Firm for Women and a Pacesetter firm among U.S. accounting firms. With offices in Atlanta, Alpharetta, Charlotte, Las Vegas, London, Nashville, and Tampa, there is a spot for you! We serve clients of all...

  • Medical Records Nurse

    5 days ago

    Nashville, TN, United States Ascension St. Thomas Behavioral Health Hospital Full time

    Overview: Schedule: Full Time Shift: Monday - Friday 3p-11p Ascension Saint Thomas Behavioral Health Hospital is Nashville's Leading behavioral health treatment center and is a 90-bed adult (18+) inpatient psychiatric hospital that provides a full continuum of behavioral health treatment services for adults and senior adults. We are seeking a...

  • Audit Senior Associate

    3 days ago

    Nashville, United States FORVIS Full time

    Description & Requirements Our firm provides assurance services that go beyond the compliance function. Alongside the rest of our team, you will bring credibility to our client's financial picture, communicate information objectively and clearly, and provide insight to help clients improve their businesses.If relationships are important to you and you...

  • Medical Records Nurse

    7 days ago

    Nashville, TN, United States Youth Opportunity Investments LLC Full time

    If you are passionate about providing care to youth in need and want to join a top-notch team, please apply today! We offer a competitive salary and comprehensive benefits package, including health, dental, vision insurance and a 401k that's top 3 % in the country. *Youth Opportunity Investments* Youth Opportunity is dedicated to empowering youth with...

  • Internal Audit

    2 days ago

    Nashville, United States M S CO Full time

    Description: We're seeking someone to join our team as a Director to provide front-to-back audit coverage of Sales & Trading and Capital Markets businesses across the Asia region. This role is part of a dynamic team dedicated to Internal Audit's Institutional Securities Group (ISG) and can be based in either Hong Kong or Singapore. In the Audit division, we...

  • Lease Auditing Analyst- Genesco- Hybrid

    5 days ago

    Nashville, United States Genesco Full time

    The Ideal Candidate The Lease Auditing Analyst is responsible for coordinating lease payments, resolving disputed charges, and maintaining effective communication with Landlords as well as internal contacts. How You Will Make an Impact Prepares monthly and daily invoices for payment. This includes auditing invoice amount, preparing payment vouchers, and...

  • Receptionist

    5 days ago

    Nashville, United States Big Loud Records LLC Full time

    At BIG LOUD, we're not just in the business of making country music; we want to create unforgettable experiences for our employees, artists, writers and guests. As a bustling record label, we thrive on creativity, innovation, and collaboration. We're seeking an energetic Receptionist to join our team and be the welcoming face of our vibrant office.As the...

  • Medical Malpractice Attorney

    2 weeks ago

    Nashville, Tennessee, United States Quintairos, Prieto, Wood & Boyer, P.A. Full time

    Overview: Join a Team of Difference Makers   Joining Quintairos, Prieto, Wood & Boyer, P.A. (QPWB) means becoming part of a team of difference-makers who are passionate about making a positive impact in the legal profession. Our commitment to excellence, diversity, and innovation extends to every aspect of the firm, including our Medical Malpractice...

  • Medical Assistant/ Patient Service Representative

    1 week ago

    Nashville, United States Meharry Medical College Full time

    This position under general supervision and direction, renders patient care in accordance with regulatory, licensing and accreditation standards and provider's orders. Assists physicians or other providers in preparing patients for examination, treatment and implementing patient care treatment programs; performs related technical tasks that support the...

  • Quality Manager

    6 days ago

    Nashville, United States Vireo Resources Full time

    Are you ready to join a fast-growing, innovative company looking to revolutionize global health? Are you looking for a company that offers competitive pay with employee benefits that are available upon hire? Do you want to work for a company who promotes from within? Do you want to be part of a dynamic team that is passionate about improving the lives of...