University Medical Center Of Southern Nevada
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Senior HIM Compliance Analyst - Inpatient Coding Auditor
at University Medical Center Of Southern Nevada
- Position Summary
ELIGIBLE FOR REFERRAL BONUS
THIS POSITION MAY CLOSE WITHOUT NOTICE ONCE A SUFFICIENT NUMBER OF QUALIFIED APPLICATIONS ARE RECEIVED.
EMPLOYER PAID PENSION PLAN OF 29.25% OF YOUR ANNUAL SALARY!
GENEROUS BENEFITS PACKAGE!
Responsible for coding and billing documentation auditing to ensure compliance with Federal, State, and local requirements, while functioning within established auditing standards and guidelines. Responsibilities include ensuring that the MS-DRG, APR-DRG and APC assignments made accurately reflect the hospital case mix and severity so that revenue can be recorded accurately; educate staff on trends identified through routine audits; and serves as a liaison to provide professional guidance to clinical and administrative staff involved in APR-DRG and APC assignment and documentation problems. Develop detailed audit plans and programs, and prepares written reports of findings with recommendations.
- Job Requirement
Equivalent to a Bachelor's Degree in Finance, Business, Medical Records Technology, Health Services Administration, or a related field and three (3) years of auditing experience.
This classification will require a Certification in one (1) of the following: Registered Health Information Administrator (RHIA), registered Health Information Technician (RHIT), Certified Coding Specialist (CCS).
- Knowledge, Skills, Abilities, and Physical Requirements
Office theories and principles; auditing concepts and principles; terminology used in area of assignment; departmental policies and procedures. In-depth knowledge of specialized discipline of coding and DRG assignments, anatomy and physiology, pharmacology, and the ability to read and interpret all components of a medical record, including pathology, laboratory and radiologic reports. Laws, codes, rules and regulations governing areas of assignment; department and hospital safety practices and procedures, patient rights, infection control policies and practices; APR-DRG coding system and basic bench marking reports and comparative databases; ICD-9, ICD-10, ICD-10 PCS, and CPT coding conventions; department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures.
Reviewing abstracted and coded information; analyzing statistical data from external sources to review overall coding practice; determining educational needs of coding staff to bridge knowledge gaps as identified through audit and database analysis; creating technical reports, education plans; facilitating seminars, developing PowerPoint tools for coders, and reviewing technical coding guidelines and manuals; using computers and related software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.
Physical Requirements and Working Conditions:
Mobility to work in a typical office setting and use standard office equipment, stamina to remain standing for long periods of time, vision to read printed materials and a VDT screen, and hearing and speech to communicate in person and over the telephone. Strength and agility to occasionally lift and carry up to 25 pounds.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.