Data Integrity Audit Representative (Temporary, 40hrs/week)

Jefferson Health Plans; Philadelphia (Philadelphia County); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Medical insurance

Prescription coverage

Dental insurance

Vision insurance

Life and AD&D insurance

Short- and long-term disability

Flexible spending accounts

Retirement plans

Tuition assistance

Job summary

Jefferson Health Plans is seeking a Data Integrity Audit Representative to gather and enter clinical data from multiple systems, ensuring accuracy and completeness to support incentive initiatives. The role requires a year of related medical office experience, strong Microsoft Office skills, and knowledge of medical terminology.

The position is based in Philadelphia, with rotating shifts and a focus on collaborative, detail-oriented data handling across third-party software.

Qualifications

• High school diploma or GED required.
• Minimum 1 year patient-related medical office or hospital experience.
• Valid Driver’s License required.
• Excellent interpersonal and communication skills; able to work in a team; detail oriented.

Responsibilities

• Gather and input clinical data from various systems.
• Identify and collect diagnosis codes (ICD9/ICD10).
• Ensure accuracy and completeness of data in 3rd party software.
• Communicate with physicians and providers to support data submission for incentives.
• Meet productivity goals and participate in ongoing education.

Skills

Data entry

Medical terminology

Microsoft Office

Attention to detail

Education

High School Diploma or GED

MOA/Nursing student/LPN preferred

Tools

Electronic Health Records (EHR) systems

3rd party software

Job description

Job Details

Job Description

I. PRIMARY FUNCTION:

Under the supervision of the Director Clinical Integration, he/she is responsible for data gathering and data entry from the various clinical systems to support quality and incentive initiatives for Abington Health Physicians. The Data Integrity Audit Representative will assist with the collection, input and physician review of clinical data into 3rd party software systems while maintaining confidential and systematic compilation of clinical information for a specific cohort of patients.

II. PRINCIPAL DUTIES AND RESPONSIBILITIES:

Meets all standards of the Patient Satisfaction Initiative Criteria in order to make Abington – Jefferson Health (AJH) the hospital of choice for Patients and Employees.

Responsible for accurately identifying and collecting comprehensive medical record data including diagnosis codes ICD9/ICD10 from associated software.

In a systematic manner ensures accuracy & completeness of clinical data entered into 3rd party software. Provides necessary clinical information and missing coding information to practitioners to facilitate review and verification of data prior to submission.

Effectively communicates (oral and written) and collaborates with the physician and other health care providers to support the submission and tracking of incentive payments to the organization.

Meets productivity goals in the designated timeframe to ensure project timeline adherence.

Participates in continuing education activities to enhance professional growth and development.

Performs other duties as assigned.

III. POSITION QUALIFICATIONS:

• A. Experience:
  Minimum 1 year patient related medical office or hospital experience required.
• B. Education & Training:
  High School Graduation or GED required. MOA, Nursing Student, or LPN preferred.
• C. License, Certification & Registration:
  Valid Driver’s License
• D. Other Requirements:
  Excellent interpersonal and communication skills, both written and verbal. Ability to work effectively in a team environment. Ability to prioritize responsibilities and handle multiple tasks. Must be detail oriented. Strong knowledge of Microsoft Office. Ability to learn new software programs. Knowledge of Medical terminology and computer skills required. Current auto insurance with proof of coverage required. Must possess a driving record free from major violations within the past five years, and maintain an acceptable driving record with no major violations in accordance with Motor Vehicle Regulations and Abington – Jefferson Health’s auto insurance policy. Any and all major violations incurred must be immediately reported to the manager, department head, or Human Resources department.

Work Shift

Rotating (United States of America)

Worker Sub Type

Temporary

Employee Entity

Thomas Jefferson University

Primary Location Address

901 Market Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow’s professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time(including per diemcolleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

• medical (including prescription)
• supplemental insurance
• dental
• vision
• life and AD&D insurance
• short- and long-term disability
• flexible spending accounts
• retirement plans
• tuition assistance
• voluntary benefits
• Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
• All colleagues, including those who work less than part-time(including per diemcolleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

For more benefits information, please click here