Respiratory Therapist Auditor / Respiratory Therapy

Children's Nebraska•Omaha, NE

4h•Onsite

About The Position

The Respiratory Therapy Auditor position at Children's is responsible for auditing and reconciling patient charts (medical records) daily and/or upon request from various entities like Payor's auditors, Patient Accounting, Risk Management, and Revenue Cycle. The purpose of these audits is to ensure accuracy and compliance with regulatory requirements, hospital, and system policies and procedures for reasons of treatment, payment, or operations. This role involves verifying that clinical documentation supports items and services on the patient bill, identifying and correcting discrepancies, ensuring all patient services are listed for payment, and providing education and training on proper documentation standards to respiratory therapists. Children's is the region's only full-service pediatric healthcare center, committed to diversity and inclusion, and offers an environment of excellence and inclusion with opportunities for career growth and professional development.

Requirements

Associate's Degree from an accredited school of respiratory care
1-3 years Experienced in respiratory care for neonates and or pediatrics patients
Basic Computer skills
Analytical skills to perform accurate and extensive audits on selected patients accounts.
Good interpersonal skills with courteous phone manner imperative.
Ability to work independently to efficiently perform assigned duties.
Current valid Nebraska RT license
Registered Respiratory Therapist

Nice To Haves

Experience with EPIC preferred

Responsibilities

Review respiratory therapy documentation to determine appropriate documentation.
Timely audit of respiratory therapy documentation to ensure collaboration with Dr's documentation, the pulmonary note, H&P's and other chart information as needed.
Specific items being audited are any services provided by a respiratory therapists.
Audit may include confirmation of information via software programs, vendor provided information or documentation from the respiratory therapists.
Timely audit billing levels associated with all respiratory therapy patient care. Insure complete and accurate
Work with respiratory therapy staff in appropriate area as required to correct if needed
Provide training as needed to Respiratory Therapist’s on proper documentation requirements to meet standards.
Reconciles patient charts, services and items included in the patient’s chart with services and items included on the patient’s bill upon request from Payor’s auditors, Patient Accounting, Risk Management, Revenue Cycle, and other hospital entities needing completion of audit for reasons of treatment, payment or operations.
Intervenes and takes appropriate action to foster real-time compliance to performance measures associated with regulatory, national, and regional guidelines. Interventions to promote compliance may include discussion, and/or collaboration with physicians, nurses, and other healthcare personnel.
Other duties as assigned.
Regular attendance at work is an essential function of the job.
Perform physical requirements as described in the Physical Requirements section