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Integrity Revenue Cycle Auditor

(Confidential)

Job Description

This management position d evelops and implements processes related to coding, billing, and medical record documentation that support the system-wide compliance program by: developing and implementing content for compliance education and training; conducting and overseeing compliance audits and investigations; conducting training and developing policies and procedures related to revenue cycle compliance matters; and serving as the in-house expert on medical center billing, coding, and medical record documentation compliance issues. Collaborates with key leadership, other employees, contractors, and independent physicians to identify, research, investigate and resolve compliance issues related to the medical center revenue cycle. Ensures compliance with new rules, regulations, and revisions, as set forth by the Center for Medicare and Medicaid Services (CMS) as well as other federal and state laws and regulations that govern matters related to the revenue cycle.




Will routinely review and evaluate University Health’s internal control structures within revenue cycle activities to ensure they adequately prevent and detect errors, fraud, waste and abuse. Assists with other audits and investigations with approval from the Chief Compliance/HIPAA Officer. Performs duties and assignments promptly and efficiently. Strives to protect the department’s reputation for creditability and objectivity. Maintains good public/working relations with other University Health executives, members of the Board of Managers, co-workers, employees, doctors, patients and guests. Handles all personal contacts with professionalism, efficiency and integrity while preserving the confidential nature of information.



Job Requirements

Bachelor’s degree from an accredited college or university is strongly preferred. Knowledge of medical billing and clinical health care practices equivalent to that which would be acquired by completing an accredited bachelor’s degree program. 


Knowledge, skills and abilities required to perform this job are typically acquired  through experience progressively responsible experience within a health care environment that includes experiences in planning and implementing large scale projects that affect multiple departments and functions; implementing regulatory changes; identifying, investigating, and resolving complaints; and analyzing and interpreting health system billing requirements.  Knowledge of ICD, CPT and HCPCS coding regulations. 


Strong planning, problem-solving and change management skills.


Demonstrated leadership skills and abilities, including the ability to lead diverse work teams.



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Job Snapshot

Location US-TX-Houston
Employment Type Full-Time
Pay Type Year
Pay Rate $117,500.00 - $122,500.00 /Year
Store Type Health Care
Other Compensation: 0

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Terms & Conditions
Snapshot
(Confidential)
Company:
US-TX-Houston
Location:
Full-Time
Employment Type:
Year
Pay Type:
$117,500.00 - $122,500.00 /Year
Pay Rate:
Health Care
Store Type:

Job Description

This management position d evelops and implements processes related to coding, billing, and medical record documentation that support the system-wide compliance program by: developing and implementing content for compliance education and training; conducting and overseeing compliance audits and investigations; conducting training and developing policies and procedures related to revenue cycle compliance matters; and serving as the in-house expert on medical center billing, coding, and medical record documentation compliance issues. Collaborates with key leadership, other employees, contractors, and independent physicians to identify, research, investigate and resolve compliance issues related to the medical center revenue cycle. Ensures compliance with new rules, regulations, and revisions, as set forth by the Center for Medicare and Medicaid Services (CMS) as well as other federal and state laws and regulations that govern matters related to the revenue cycle.




Will routinely review and evaluate University Health’s internal control structures within revenue cycle activities to ensure they adequately prevent and detect errors, fraud, waste and abuse. Assists with other audits and investigations with approval from the Chief Compliance/HIPAA Officer. Performs duties and assignments promptly and efficiently. Strives to protect the department’s reputation for creditability and objectivity. Maintains good public/working relations with other University Health executives, members of the Board of Managers, co-workers, employees, doctors, patients and guests. Handles all personal contacts with professionalism, efficiency and integrity while preserving the confidential nature of information.



Job Requirements

Bachelor’s degree from an accredited college or university is strongly preferred. Knowledge of medical billing and clinical health care practices equivalent to that which would be acquired by completing an accredited bachelor’s degree program. 


Knowledge, skills and abilities required to perform this job are typically acquired  through experience progressively responsible experience within a health care environment that includes experiences in planning and implementing large scale projects that affect multiple departments and functions; implementing regulatory changes; identifying, investigating, and resolving complaints; and analyzing and interpreting health system billing requirements.  Knowledge of ICD, CPT and HCPCS coding regulations. 


Strong planning, problem-solving and change management skills.


Demonstrated leadership skills and abilities, including the ability to lead diverse work teams.



Integrity Revenue Cycle Auditor Apply now