Health Information, Compliance Auditor, PRN

Harrison County Hospital is seeking a PRN (per diem) Compliance Auditor.

The Compliance Auditor verifies medical record documentation; supports billing charge and coding.

EDUCATION/EXPERIENCE:

• CCS, CCS-P and/or CPC-H preferred.

• Coding experience required.

• Demonstrated knowledge of ICD-9, CPT-4 and HCPCS coding.

• Demonstrated knowledge of medical terminology and procedures.

SKILLS:

• Ability to abstract medical chart contents

• Computer literacy for P.C. and hospital information system

LANGUAGE SKILLS:

• Knowledge of current medical terminology and procedures.

• Excellent communications skills.

• Ability to establish smooth working relationship with physicians, their office staff, and ancillary hospital staff.

JOB DUTIES INCLUDE:

• Performs audits on all Observation accounts to ensure correct charges.

• Applies observation hours/procedure charges to account in hospital information system, Meditech.

• Maintains accurate and complete Observation Log for Finance.

• Performs chart audits on all outpatient surgery charts to ensure correct charges.

• Performs inpatient chart charge audits to ensure correct charges.

• Performs random chart audits on all outpatient patients to assure correct billing.

• Performs chart audits on all emergency department charts to ensure correct charges.

• Applies emergency department charges for infusion/injections to account.

• Educates staff regarding correct billing/documentation process.

• Responsible for follow-up with physicians on incomplete orders from coders.

• Establishes dialog with hospital staff to obtain and relay necessary information concerning patient's billing and insurance requirements.

• Conducts audits of patient records, as requested.

• Maintains patient confidentiality at all times.

• Maintains up-to-date knowledge of hospital reimbursement by third party payors including Medicare and

• Medicaid by utilizing reference material and attending education sessions.

• Codes outpatient medical records using ICD-10-CM and CPT coding principles with accuracy according to the documentation in the patient's medical record.

• Assists internal and external customers with requests for information.

• Works closely with the RAC team to audit records.

• Performs other duties as requested by manager.

• Harrison County Hospital has continuously served the people of Harrison County since 1950. Today our acute care community hospital serves the healthcare needs of a much broader and growing population in Harrison and Crawford counties, Indiana and Meade County, Kentucky. *

• As our community grows, we grow, serving more patients than ever before, and recruiting highly qualified hospital and medical staff. *

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