Health Information, Compliance Auditor, PRN

Harrison County Hospital•Corydon, IN

4d•Onsite

About The Position

Harrison County Hospital is seeking a PRN (per diem) Compliance Auditor. The Compliance Auditor verifies medical record documentation and supports billing charge and coding. This role involves performing various chart audits to ensure correct charges and accurate billing, educating staff on proper processes, and maintaining patient confidentiality. The hospital has served Harrison County since 1950 and has grown to serve a broader population in Indiana and Kentucky.

Requirements

Coding experience required.
Demonstrated knowledge of ICD-9, CPT-4 and HCPCS coding.
Demonstrated knowledge of medical terminology and procedures.
Ability to abstract medical chart contents
Computer literacy for P.C. and hospital information system
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.

Nice To Haves

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

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.
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.