Prof Rev Compliance Aud/Educator

NEW HAVEN, CT
Feb 19, 2020

Share:
This job has no Apply URL.

Job Description

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The primary focus of the position is to provide education and conduct audits for the physicians and their staff. Assists in the planning, organizing, and completion of auditing activities required to comply with federal payors and other compliance-related requirements. To identify lost revenue opportunities and any overpayments made due to errors in coding, insufficient medical record documentation, etc. To increase and strengthen health care providers' awareness and understanding of medical record documentation guidelines and coding principles. Serves as a role model for ethical management behavior and promotes an awareness and understanding of the System's Code of Conduct and Privacy and Corporate Compliance Program. Assists the Manager, NEMG Revenue Integrity in assessing risk and developing an audit and education plan to support the overall compliance plan. Interacts with all levels of management within the Health System.

EEO/AA/Disability/Veteran

Responsibilities

  • 1. Essential Functions:
    • 1.1 Under the direction of the Manager, NEMG Revenue Integrity, assists in the performance of risk analysis to identify areas with greatest potential for non-compliance with governmental and internal requirements.
  • 2. Secondary Functions:
    • 2.1 Attends meetings and serves on committees.

Qualifications

EDUCATION


Certified Professional Coder required. Associate's Degree in Accounting, Business Administration or Healthcare Administration preferred.


EXPERIENCE


Minimum of five (5) years experience in a healthcare setting with experience performing medical record audits for clinical documentation, charge and reimbursement accuracy. Demonstrated training and presentation skills. Minimum 3 years E&M coding experience. Experience in hospital and provider coding with CPT and ICD-9-CM. Knowledge of health care management in terms of financial and billing concepts. Knowledge of health care compliance, reimbursement and managed care issues.


SPECIAL SKILLS


Must be proficient in Microsoft Word, and Excel. Experience with audit software tools preferred.


Share:
This job has no Apply URL.
 

Not ready to apply, but interested in working at Yale New Haven Health?

Join our Talent Network

Job Info

Job: 17130

Department: Corporate Compliance
Category: MGMT/LEADERSHIP
Sub Category: ADMIN PROF
Status: Full Time Benefits Eligible
Shift: D
Hours: 40

Similar Jobs

Practice Supervisor

NEW HAVEN, CT
MGMT/LEADERSHIP

Practice Supervisor - Gastroenterology

NEW HAVEN, CT
MGMT/LEADERSHIP

Director Finance

Bridgeport, CT
MGMT/LEADERSHIP

Director of Inpatient Pharmacy, YNHH

NEW HAVEN, CT
MGMT/LEADERSHIP

Patient Service Manager - RN - Digestive Health

North Haven, CT
MGMT/LEADERSHIP

Off Shift Clinical Executive

NEW HAVEN, CT
MGMT/LEADERSHIP

Practice Supervisor

Westbrook, CT
MGMT/LEADERSHIP

Director Employee and Labor Relations

NEW HAVEN, CT
MGMT/LEADERSHIP

Managing Contract Officer

NEW HAVEN, CT
MGMT/LEADERSHIP

Prof Rev Compliance Aud/Educator

NEW HAVEN, CT
MGMT/LEADERSHIP

Sterile products Pharmacy Technician

NEW HAVEN, CT
MGMT/LEADERSHIP

SPD Night Supervisor

NEW HAVEN, CT
MGMT/LEADERSHIP

Exec Dir Project Access

NEW HAVEN, CT
MGMT/LEADERSHIP

ASST. NURSE MANAGER-Ortho, Neuro, Uro

Bridgeport, CT
MGMT/LEADERSHIP

Manager, Quality Measurement Program

NEW HAVEN, CT
MGMT/LEADERSHIP

CRNA Manager

NEW HAVEN, CT
MGMT/LEADERSHIP

Assistant Manager, Language Services

NEW HAVEN, CT
MGMT/LEADERSHIP

Asst Patient Svcs Mgr/Csm, GI Procedure Clinic

NEW HAVEN, CT
MGMT/LEADERSHIP

Performance Manager

NEW HAVEN, CT
MGMT/LEADERSHIP

Director, Value Analysis

NEW HAVEN, CT
MGMT/LEADERSHIP

Nurse Manager-Med Surg-Milford Campus

Milford, CT
MGMT/LEADERSHIP

Manager, Social Work Oncology

NEW HAVEN, CT
MGMT/LEADERSHIP

VP-Operations BH

Bridgeport, CT
MGMT/LEADERSHIP