VCU Health System
- Bachelors degree is required
VCU Health System's Corporate Compliance is seeking a full time Compliance Auditor to perform documentation/chart audits on inpatient and outpatient records, and to provide analysis of the records (provider and facility) reviewed, education and other assistance as needed. Audits to include VCUHS coding and billing (DRG, CPT, ICD-9/10) based on a review of medical record documentation and/or billing claim data.
Works to an annual work plan and to manage resources such that the work plan is completed in a timely manner.
Interacts independently with all levels of employees.
Analyzes an issue, develops a plan to resolve and implements the resolution.
Bachelor's Degree in Business or Healthcare related field
Minimum of three (3) years of progressively responsible experience in hospital/physician coding and documentation reviews; healthcare compliance and working with electronic health records.
Previous experience with personal computers and software applications to include Microsoft Word, Excel and PowerPoint.
One of the following current AAPC certifications required or successfully obtained within six (6) months from date of hire into position:
Certified Professional Coder (CPC)
Certified Professional Coder-Hospital (CPC-H)
Certified Professional Coder-Payer (CPC-P)
CPMA Certified Professional Medical Auditor (CPMA)
One of the following current AHIMA certifications required or successfully obtained within six (6) months from date of hire into position:
Certified Coding Associate (CCA)
Certified Coding Specialist (CCS)
Certified Coding Specialist-Physician Based (CCS-P)
One (1) other current related coding certification required or successfully obtained within six (6) months from date of hire
Two (2) years of auditing work experience
Qualified applicants will receive consideration for employment without regard to their protected veteran or disability status.
VCU Health System
Website : http://www.vcuhealth.org
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