Manager Audit

McLaren Health CareShelby Township, MI

About The Position

Responsible leading Audit and Account Resolution Departments. Functional assignments include management of facility and professional auditing services, managing internal and external auditing, customer service, and coding information. Occasionally travels to provide on-site coding education to the providers and clinical staff and assistance with special projects as needed. Supports Regional Director with Coding, Auditing, Accounts Resolution and Revenue Cycle in meeting strategic objectives throughout the McLaren System.

Requirements

  • Associate degree in HIT, accounting, business management or closely related field.
  • RHIT or RHIA certified
  • Three year’s coding experience in settings such as: acute care facility coding inpatient, outpatient, professional outpatient or professional inpatient

Nice To Haves

  • Three years’ previous coding experience

Responsibilities

  • Provides leadership throughout the system in regard to facility and professional auditing, managing internal and external auditing and account resolution inquiries.
  • Responsible for managing the daily operations of the audit department and guiding the efficient and effective process for coding, abstracting, and data reporting of inpatient, outpatient, professional encounters.
  • Provides leadership for audit and coding staff with training, coding compliance reviews, regulatory guidance, work distribution, and monitoring of accounts receivable issues related to coding.
  • Ensures coding process and guidelines meet state, federal, hospital, and other external agencies requirements and standards.
  • Develops and implements plans to ensure the achievement of established objectives.
  • Conducts performance appraisal reviews and routine assessment of staff competency providing timely and appropriate feedback.
  • Works with the medical staff to improve clinical documentation to facilitate accurate coding.
  • Enforces the use of physician query when appropriate.
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