Sr. Integrity Hospital Auditor

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Self-motivated leader with a collaborative mindset, driven to take initiative and build the department's reputation of quality service. Ability to independently develop strategies, design solutions and establish processes, which contribute to team collaboration and department satisfaction. Responsible for auditing charge processes and procedures throughout the organization to maintain charge integrity in compliance with CMS and other regulatory agencies. This role will participate in the defense audit process, perform hospital and payor audits to ensure compliance with annual audit plan, and aid in identifying lost revenue opportunities or overpayments related to coding or billing issues identified through audits.

REQUIRED

1. S. degree in Nursing, Health Information Management, Healthcare Administration or Business Administration; or Associates Degree with 3 years of hospital charge master experience in lieu of a bachelor's degree.
2. Must have a coding credential (RHIA, RHIT, CCS, COC, CPC) or ability to obtain coding credential within 6 months of hire.
3. Demonstrated communication skills and an ability to work independently and deal effectively with various types of personnel.
4. Experience in training/educating others.
5. Thorough understanding of reimbursement methodologies for all payors.
6. Understanding of the function of the Chargemaster as well as revenue, CPT and HCPCS coding.
7. Good analytical and communication skills.
8. Knowledge of Microsoft Office products.

PREFERRED

CPMA (Certified Professional Medical Auditor)