Auditor Jobs

About The Position

Requirements

• 3–4 years of experience required.
• Demonstrated ability to manage, teach, make independent decisions, and assume responsibility.
• Strong verbal and written interpersonal communication skills.
• Ability to communicate and work effectively with all levels of staff.
• Working knowledge and experience with PC-based applications, including Word, Excel, PowerPoint, and Outlook.
• Ability to function as a leader and team member and execute desired outcomes.
• Creative, positive problem-solving abilities.
• Ability to foster collaboration among multiple parties.
• Ability to plan, organize, and present ideas and concepts effectively to groups.
• Ability to think conceptually and apply concepts in practical settings.
• Ability to assimilate and analyze information from varied sources and determine a course of action.
• Ability to consider diverse opinions and incorporate them into decision-making.
• Commitment to a high standard of customer service.
• Ability to function independently when addressing charging questions.

Nice To Haves

• Bachelor’s degree preferred.
• RHIA or RHIT certification preferred.
• Physician billing charging and/or coding experience preferred.

Responsibilities

• Ensure each revenue-generating department across the system complies with the ECU Health Charge Capture Reconciliation Policy.
• Lead, develop, and facilitate an audit program that monitors use of charge reconciliation reports and charge review work queues.
• Maintain facility-specific scorecards, including corrective action plans for non-compliant departments and recognition of departments and individuals meeting or exceeding expectations.
• Escalate non-compliant departments to designated leadership and work with appointed individuals to implement corrective action plans or training and improve compliance rates.
• Work with Revenue Integrity Leadership to present monthly Revenue Integrity Audit Scorecard read-outs to each facility’s leadership.
• Share monthly audit results and corrective action plans with finance and clinical leadership.
• Review regulatory and contractual updates to remain current on third-party billing regulations, and apply that knowledge to accurate and compliant charge capture decisions.
• Answer questions about the appropriateness of charging for services and products, working independently and communicating professionally with a customer-service focus.
• Stay current on Epic or other related EAP software functionality and understand hospital billing and related clinical-system processes so charges are updated correctly.
• Use Excel or other necessary software to manipulate, summarize, and analyze data.
• Develop tools and educational communications for revenue-producing departments.
• Analyze reimbursement and charge data for service-line analysis and other special projects.
• Assist departmental leadership with corrective action plans and training, and re-audit non-compliant areas to evaluate improvement.

Benefits

• Great Benefits