Job Posting
Chart Auditor/Prior Authorization
POSITION SUMMARY: Audits charts for compliance with rules and regulations.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
•Audit charts for compliance with rules and regulations, as a preventative measure against fraud and abuse, and for charges.
•Is responsible for entering and maintaining charge data information from other departments.
•Pulls medical records and re-files them after use; consults with Compliance Officer and Chief Financial Officer helps write policy and procedures to ensure all departments are in compliance with Medicare regulations
•Works closely with Physicians, Nursing Staff, Medical Records department and Business office
•Understands the billing process.
•Knowledge of medical and nursing diagnosis, and interpretation, as well as ancillary services.
•Researching, understanding and complying with Federal and State regulations.
•Ability to teach and train personnel in compliance with regulations.
•Researches areas as deemed by physicians, administration, or nursing. Helps with appeals to Medicare, Medicaid and other insurance’s on behalf of the patient and our facility.
•Attends meetings and in-service sessions, as directed.
•Requires regular attendance and punctuality
•Completes other duties as assigned.
MINIMUM QUALIFICATIONS:
Coding knowledge is preferred but not required.
Additional Information
Position Type : Full Time
Shift : Day
Hourly Wage: $25.67 - $38.00 per/hour
Contact Information
Mary Elizabeth Mullins - HR Director
Human Resources
373 E. 10th Ave.
Springfield, CO 81073
Email: mmullins@sechosp.org
Phone: (719)523-2160
Fax: (719)523-4290 |
