What are the responsibilities and job description for the Auditor- Revenue Integrity position at HH Health System?
Overview
Performs internal audits of hospital accounts; processes routine insurance audits; audits accounts as requested by patients; performs audits of accounts to separate medical charges from elective cosmetic surgery procedures; manual charge entry/credit for Pharmacy discrepancies; charge correction and billing requirements for Medical Oncology accounts, provide written appeals for RAC and non-RAC denials.
Qualifications
Minimum Knowledge, Skills and Experience required:Education:High school diploma or GED required.Alabama nursing license (RN or LPN) preferred.Prior clinical or coding experience will be considered in lieu of nursing license.Experience:Minimum of 3 years experience in hospital clinical setting, Patient Accounting, Chargemaster, coding, compliance or related field.Proficient in use of Microsoft Word and Microsoft Excel.Able to work in fast paced environment, requiring prioritizing and changing tasks frequently.Effective communication skills with internal hospital departments, customers, and other external resources.