HCA, Hospital Corporation of America Revenue Compliance Auditor - Division in Austin, Texas
POSITION SUMMARY * Educates and provides support to departments for process development in regards to charging or coding discrepancies. Responsible for trending revenue/coding compliance to identify education opportunities. The Revenue Compliance Auditor must have an expert level of competency in hospital outpatient CVIR coding and billing practices. This position researches billing and coding regulations to develop CVIR (Cardiovascular and Interventional Radiology) and other focus areas to ensure charging and documentation practices comply with regulations. Consults with IT&S and Chargemaster (CDM) Department to ensure appropriate CDM set up and ties to clinical modules. Consults with CWT Division Senior Leadership, department leadership, physicians and/or staff on medical necessity documentation practices, charge practices and educational opportunities.
KNOWLEDGE, SKILLS AND ABILITIES *
Requires extensive knowledge of CPT and HCPCS coding and requires extensive knowledge of government and non-government billing practices. Must have analytical skills and must have good written and verbal communication skills. Works with confidential patient and company information. Must be proficient in Excel.Must be able to demonstrate understanding of HCA’s and St. David’s “Patients First” safety initiative by strict compliance to all safety protocols and procedures.
EDUCATION RHIA, RHIT and/or CCS or equivalent experience required.
EXPERIENCE This position requires extensive knowledge of CPT and HCPCS coding, experience with opt hospital coding with CVIR accts, cath lab, and interventional radiology, government/non-government billing practices. Medicare and CCI edits (CCS preferred) 3 years’ experience in Medicare chart auditing, billing, and Chargemaster review. 5 years’ experience in outpatient hospital coding with focus in CVIR coding. //
Title: Revenue Compliance Auditor - Division
Location: Texas-Austin-Partnership Market Office
Requisition ID: 06766-49437