Medical Record Coding Compliance Auditor

2 months ago

Bristol, United States BRISTOL HOSPITAL GROUP Full time
Job Details

Level
Experienced

Job Location
BHI Valley St - Bristol, CT

Position Type
Full Time

Education Level
2 Year Degree

Job Shift
1st Shift (Days)

Job Category
Health Care

Job Summary

At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice. Perform ongoing chart audits of new and established provider medical records and billing documentation along timelines established by Billing Manager.

  • Point person for any payer audit requests.
  • Maintain current knowledge of coding and documentation requirements.
  • Follow HIPPA and Medicare guidelines.
  • Resource for ICD-10 training and education to physicians, coders, billers and office staff.
  • Coordinates the dissemination and education of providers and staff on chart audit findings.
  • Maintains current, accurate, retrievable records of audit finding and education using Intelicode software.
  • Provides quarterly report to the AVP BHMG and providers.
  • Maintains currency of coding and documentation manuals.
  • Develops quarterly auditing monitoring compliance activities.
  • Reviews 20 charts per provider accessing EMR software.
  • Ability to audit 8 charts per hour.
  • Benchmark findings to national average bell curve.
  • Provides audit report to AVP and Billing Manager within 48 hours of chart review.
  • Participates in departmental in-services by identifying topic for presentation, being responsible for presentation.
  • Seeks out opportunities for learning and skill development independently.
  • Backup of surgical coding and charge entry.
  • Excellent oral and written communication skills. Detail orientated with ability to prioritize and function independently under general supervision.
  • Excellent organizational skills with ability to follow written and verbal direction with multiple steps.


Qualifications

Educational / Minimum Requirements:

AS degree with three years health experience. BS Degree preferred.

Must successfully complete a coding certificate program.

Must be a Certified Professional Coder (CPC)

Additional auditing experience strongly preferred.

State/Federal Mandated Licensure or Certification Requirements:

Certified and experienced medical coding background is required.

CPC Required.

CPMA preferred.

Bristol Hospital Mandated Educational Requirements:

General orientation at time of hire. Fire/Safety/Infection Control annually. Other programs as mandated by Hospital.

Special Requirements:

None

Physical Requirements:

Must be able to sit, stand, stoop, bend for extended periods of time.

Work Environment:

Normal office conditions. Requires continued use of computer screen and data input requiring fine dexterity and movements. Vision and hearing corrected to normal.

Cognitive Requirements:

Ability to comprehend and execute written and/or oral directions. Ability to work independently. Ability to make judgmental decisions. Ability to follow through and complete tasks with minimal direction.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

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