MID Healthcare.

  • Shreveport, LA


  • $46,127-76,105 per year.

  • Long-term.

  • Full-time.
Job Description:

Make use of advanced abilities needed to audit documents, coding, and repayment of medical facility inpatient and outpatient billing. Ensure medical documents shows the level of service, seriousness of illness, danger of death, and that documents is total and precise. Audits will determine if billed services follow medical record paperwork, and in accordance with the suitable third party billing policies and/or standards. Help with the development and application of pre and post audit education as needed.

Wage Variety

$46,127 – $76,105 Annually

Specific Job Related Responsibilities

– Utilizes auditing software application to select and perform random audits of hospital/facility billing based upon determined requirements.

– Performs potential and retrospective inpatient and outpatient documentation audits to confirm compliance with documentation and billing rules and policies stated by the Centers for Medicare and Medicaid Provider (CMS), Medicare carrier and Fiscal Intermediary, State policies and Institutional policies.

– Applies knowledge of inpatient and outpatient coding guidelines and clinical documents requirements to review billed services.

– Preserves a comprehensive understanding of CPT, ICD-9-CM, and HCPCS coding principles, governmental guidelines, and 3rd party guidelines regarding paperwork and/or billing compliance.

– Develops and preserves a close working relationship with Billing Compliance team to guarantee paperwork concerns, patterns, and/or patterns are identified and addressed by potential compliance education in a prompt way.

– Evaluations companies’ and coding personnel’s coding accuracy and determines if the medical record is correctly documented.

– Assists with analysis of data/reports from compliance tracking activities to assist identify trends, issues, threat locations, and chances for education and/or process improvement.

– Prepares and provides reports as needed.

– Displays compliance with paperwork standards and keeps existing with changes in coding standards, compliance, compensation, and other regulatory updates; researches, examines, assesses and recognizes opportunities for enhancement.

– Has a mutual understanding of all scientific information systems and information circulation across the continuum of care.

– Finishes other job-related functions and special tasks as assigned by Director.

– Abides by internal controls and reporting structure.

– Standard office and client care environments. Might be required to work varying hours to accommodate feedback to doctors or other special projects.

– Carries out associated tasks as required.

CATSONE.

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