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Revenue Chart Auditor II

Location: Anaheim
Posted on: November 15, 2019

Job Description:

OverviewThis 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.QualificationsBachelors degree or 10 years of patient revenue audit experience preferredMedical TerminologyKnowledge of CPT, ICD-9, CM, HCPCS coding structuresClinical Experience PlusStrong 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 ProfessionalPreferred Experienced Medical Records Coder of Billing FacilityAnaheim Regional Medical CenterReq IDreq3774ShiftDaysCategoryAccounting/FinancePosition TypeRegular Full-TimeDepartmentAccounting - Patient

Keywords: UNAVAILABLE, Oxnard , Revenue Chart Auditor II, Accounting, Auditing , Anaheim, California

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