Audit Coordinator

Good Samaritan Careers

85d

About The Position

The Audit Coordinator is the main contact for outside payer audit requests. This role involves managing, coordinating, communicating, and monitoring responses to data requests and appeals in a timely manner. The Coordinator provides input on denial trends and helps identify opportunities for improvement. Additionally, the Coordinator conducts routine Committee meetings to report on payer audit activity.

Responsibilities

• Updates and maintains audit tracking system for internal reporting purposes.
• Works collaboratively with Health Information Management on documentation requests and confirms timely submission.
• Acts as liaison between Administration, Internal Audit, Nursing, Health Information Management, Case Management, Physicians, and external consultants on all payer audit related issues.
• Prepares monthly reports detailing audit activity and results.
• Conducts Audit Committee meetings and maintains meeting minutes.
• Presents audit results to other Committees when requested.
• Reports compliance risks and potential violations of federal and/or state laws and regulations to the Corporate Compliance Officer.

What This Job Offers