AHMC Healthcare

  • Revenue Chart Auditor II

    Posted Date 10 months ago(2/12/2019 11:14 AM)
    Location : Location
    US-CA-Anaheim
  • Overview

    This position will perform audits to ensure maximum achievable reimbursement and compliance. Review all defense audits with insurance company auditors. Ensures accurate data collection for reporting purposes from various departments. Ensures charging practices and departmental policies are followed. Reviews remittance advices against charges to ensure proper payment is received for services. Refers denials to appropriate departments within the organization for appeals process. Reviews charge Master for accuracy of information. Finalizes department audit summaries and facilitates Monthly Chart Audit Meetings with Nursing and ancillary departments to establish optimal billing methods that meet with billing compliance standards (regulations).

     

    Ensure charging practices and departmental policies are followed. Responsible for working with all departments regarding proper charting as required by insurance companies and audit agencies.

    Qualifications

    Bachelor’s degree or

    10 years of patient revenue audit experience preferred

    Medical Terminology

    Knowledge of CPT, ICD-9, CM, HCPCS coding structures

    Clinical Experience Plus

    Strong computer skills, including Microsoft programs, especially Excel and Access

    10+ years’ experience in a professional organization and/or hospital

    Strong analytical skills

    Strong communication skills, written and oral.

    Solid problem solving abilities

    Ability to work independently with moderate supervision

    Demonstrates efficiency, initiative, and flexibility

    Demonstrates the ability to follow instructions well

    Generates quality work product in a timely manner

    Demonstrates good organizational and multi-tasking skills and is detailed oriented
    Preferred Experienced Clinical Licensed Professional
    Preferred Experienced Medical Records Coder of Billing

    Facility

    Anaheim Regional Medical Center

    Req ID

    req3774

    Shift

    Days

    Category

    Accounting/Finance

    Position Type

    Regular Full-Time

    Department

    Accounting - Patient

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