Leading hospital billing and coding audits, the full-time New Jersey Licensed Hospital Auditor will conduct on-site and desk audits, develop audit protocols, and provide guidance on ICD-9-CM and DRG assignments while working remotely. Key responsibilities Identifies and presents billing discrepancies during audits and coordinates referrals for improper claim payments Compiles audit statistics and information for presentation to accounts and regulatory agencies Trains new staff on department and audit procedures while updating audit processes to align with innovations in clinical data review Required qualifications High School Diploma/GED required; Bachelor's degree in Health Information Management preferred Minimum of 3 years of experience in a medical records department of an acute care hospital or healthcare facility Experience with DRG validation and ICD-9-CM training RN license preferred, along with RHIT/RHIA certification and New Jersey Hospital Association membership Valid driver's license and access to a car
New Jersey Licensed Hospital Auditor in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.