Physician Services Auditor

2 weeks ago


Jonesboro, Arkansas, United States St Bernards Medical Center Full time
Job Summary
As a Physician Services Auditor at St Bernards Medical Center, you will be responsible for conducting coding audits for all professional claims to ensure accuracy of billed data. You will develop and implement databases to track and monitor findings, provide feedback to the Coding Manager on individual coders and opportunities for education, and arrange education for coders and physician/leadership on audit results. You will work with the Coding Manager to improve outcomes and ensure coding compliance.

Key Responsibilities
• Conduct coding audits for all professional claims to ensure accuracy of billed data
• Develop and implement databases to track and monitor findings
• Provide feedback to the Coding Manager on individual coders and opportunities for education
• Arrange education for coders and physician/leadership on audit results
• Work with the Coding Manager to improve outcomes and ensure coding compliance

Requirements
• American Health Information Management credentials (RHIA, RHIT, CCS-P, CPC)
• Credentialed coder with at least ten years coding experience
• Extensive knowledge of reimbursement systems and federal, state, and payer-specific regulations and policies pertaining to physician documentation, professional coding and billing
• Ability to code all types of records, professional and facility
• Current with coding changes and regulations from various accrediting agencies and third party payers
• Ability to interact well with physicians, physician offices, coding personnel, and others to obtain appropriate information needed to assign accurate codes
• Demonstrated ability to collaborate with other team members and prioritize and work independently

Work Environment
Normal hospital environment. Close eye work and hearing within normal range. Oral communication. Operates computer, printer, fax and copier. Long periods of sitting. Occasional walking, bending, and climbing. May lift and carry up to 5 pounds.

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