Health Information, Compliance Auditor, PRN

hchin; Corydon (IN); On-site; USD 34,440,000 - 55,104,000; Part time

Job summary

Harrison County Hospital is seeking a PRN (per diem) Compliance Auditor to verify medical record documentation and support billing and coding processes.

The role involves auditing observation, inpatient and outpatient charts, applying charges in Meditech, educating staff, and maintaining confidentiality while ensuring compliance with Medicare/Medicaid guidelines.

Qualifications

• Coding experience required.
• Knowledge of ICD-9, CPT-4 and HCPCS coding.
• Demonstrated knowledge of medical terminology and procedures.

Responsibilities

• 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.

Skills

Coding experience

ICD-9 CPT-4 HCPCS knowledge

Education

CCS, CCS-P and/or CPC-H preferred

Job description

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, andancillary 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.