Albert Einstein Healthcare Network

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Compliance Auditor - Front & Olney

at Albert Einstein Healthcare Network

Posted: 7/12/2019
Job Reference #: 41321
Keywords: billing, compliance

Job Description

Job ID #:

Entity:

EPPI Professional Fund

Employment Type:

Full - Time

Department:

Quality and Compliance - PF

Location:

Einstein Plaza - Olney

Shift:

day

Weekends Required?

No

Biweekly Hours:

Rotation Required?

No

Experience Required:

5 - 7 Years

On-Call Required?

No

Education Required:

Not Indicated

City:

Philadelphia

State:

PA

Zip Code:

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Position Description

In this role you will be responsible for:

Performs CPT/ICD-10 audits for physician services incorporating both coding and clinical documentation requirements into the assessment

Provides education to providers for areas of concern and/or focus with an emphasis on clinical documentation.
Reviews records for documentation deficiencies and works with the providers to improve documentation specificity
Ensures corrective action is taken in a timely manner
Reviews provider documentation in the medical record to ensure compliance with all federal, state, and third party billing requirements, rules, regulations, and standards of care

If you possess the following qualifications, please apply immediately:

Certified coder required

Some college level business courses and/or equivalent experience in health field preferred
Minimum of five years auditing experience is required
Excellent oral and written communication skills are required
Excellent analytical skills are required
A broad knowledge of the disease process, normal/abnormal findings, reasonable course of treatment, quality assurance, and risk management issues is essential
Some training skills required to explain requirements and provide guidance to areas experiencing billing problems
Coding certification required (at least one of the following) CPC, CCS, RHIT, RHIA

Physical Demands:

Physical Requirements: Mainly sedentary with some light lifting of charts required

Visual Requirements: Near Vision with extensive exposure to VDTs
Hearing Requirements: Ability to hear normal conversation and telephone communication
Working Conditions: Office Setting

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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