12 Audit & Medical Records Manager Jobs in Nashville, TN
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Green Hills Center for Rehabilitation and Healing
Nashville, TN | Full Time
$33k-41k (estimate)
2 Months Ago
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Audit & Medical Records Manager
$80k-102k (estimate)
Full Time
1 Week Ago
Upperline Health is Hiring an Audit & Medical Records Manager Near Nashville, TN
About Us
Upperline Health launched in 2017 and is the nation’s leading comprehensive and coordinated lower extremity healthcare organization. Upperline Health provides the highest quality integrated health services to more patients in need through a skilled and compassionate team. We specialize in targeting patients at risk of developing complications and intervening earlier with an innovative care management approach to prevent more serious consequences. Upperline Health is based out of Nashville, TN and currently has practices in Alabama, California, Florida, Georgia, Indiana, Kentucky, and Tennessee.
This is a hybrid role based in Nashville with flexibility to work remotely.
About the Audit and Medical Records Manager
Upperline Health is seeking an Audit and Medical Records Manager to manage the internal audit process for our physician documentation of diagnosis and coding for all services rendered to ensure accuracy and compliance with all coding and billing guidelines and regulatory requirements. This Manager will also manage the medical records team for all external medical records requests. The Revenue Cycle department is the fastest growing area of our company, and we are looking for a strong performer who is an outstanding communicator and team player, who demonstrates strong attention to detail and thrives in a collaborative and fast-paced environment. Ideal candidates will have prior experience as a managing a corporate internal auding program and all legalities of release of personal health information, as well as knowledge of coding and billing guidelines, and the ability to confidently communicate and defend audits with medical providers and government agencies.
What You’ll Do:
What You’ll Do:
- Manage regular review consistent metrics, identify and correct errors in documentation for a high volume of physician’s charts in the EMR.
- Ensure all coding and documentation are completed accurately to optimize reimbursement.
- Utilize grading rubric of defined metrics in conducting thorough assessment chart documentation.
- Regularly review consistent metrics, identify and correct errors in coding review for a small RCM surgical coding team.
- Utilize grading rubric of defined metrics to ensure coding teams’ efficiency and accuracy.
- Prepare and present reports of audit findings to Chief Medical Officer, VP of Revenue Cycle, and appropriate stakeholders.
- Confidently communicate with medical providers as well as senior management.
- Assist in developing corrective action plans for non-compliant physicians.
- Provide detailed documentation and provide direct education to providers and staff for required adherence to internal compliance metrics and regulatory guidelines.
- Effectively communicate reasons behind insufficient results to individual physicians.
- Provide appropriate training for physicians and staff to help eliminate future errors and maintain compliance.
- Review potential groups to assess relative coding and compliance risk
- Create checklists, review and aggregate pre-acquisition data, which includes charts received in various formats.
- Prescreen high risk compliance items and notes prior to claims being created.
Qualifications of the Medical Chart Auditor:
- 5-7 years previous chart auditing experience is required; Bachelor's degree preferred
- CPC certification is required, CPMA certification strongly preferred
- Orthopedic and/or podiatric coding is a plus
- Experience working in EMR systems, Athena EMR is preferred
- Proficient in Microsoft Excel
- Updates job knowledge and obtains required CEU’s
- Inpatient and outpatient surgery coding experience is required
- Strong understanding of compliance, audits, and best practices in coding
- Ability to analyze a high volume of medical information accurately and efficiently
- Demonstrated ability as a consistent, patient, and effective communicator to educate in an informational, influential, concise, and personable manner
- Working knowledge of resources to utilize
- Values accuracy and urgency critical to chart auditing in relation to compliance, RCM, and Upperline Health
- Excellent written communication skills with success providing written documentation
- Self-motivated with superior attention to detail
Benefits
Comprehensive benefit options include medical, dental and vision, 401K (matching), and PTO.
Compensation
Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience.
Job Type: Full-time
Comprehensive benefit options include medical, dental and vision, 401K (matching), and PTO.
Compensation
Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience.
Job Type: Full-time
Job Summary
JOB TYPE
Full Time
SALARY
$80k-102k (estimate)
POST DATE
04/25/2024
EXPIRATION DATE
07/22/2024
WEBSITE
upperlinehealth.com
HEADQUARTERS
Nashville, TN
SIZE
25 - 50
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