Medical Auditor

Company: Jefferson Regional Medical Center
Location: Pine Bluff
Posted on: January 12, 2022

Job Description:

Associate or BS Degree from an Accredited RN School. Registered Nurse for at least 3 years with recent critical care and/or surgical experience. Third-party auditor experience preferred. Computer skills, knowledge of Microsoft Office Suites required. Must have basic billing and reimbursement knowledge. Must have CPT4, ICD9 and ICD10, modifiers, Rev Bill Codes, and other types of coding knowledge and experience. Must identify charging errors and be able to document and demonstrate trends in errors found by department, service, type of patient, etc. Must also be able to make reasonable and well-thought out recommendations for improvement. Conduct targeted audits, and judgmental audits, whether self identified or directed by management. Make periodic reports to the Audit Committee as requested and directed.Job Requirements: Prepare audit work-papers to support audit findings Improve audit program and audit coverage Assist audit team in developing audit reports Performing an internal compliance audit Facilitate audit activities throughout the audit period Recommend changes in internal audit controls Maintain audit project work papers to support audit findings Perform audit field work and prepare audit reports Maintain standard review audit maps and audit procedures Training less experienced audit personnel in audit routines and conducting audit reviews Prepare for audit engagements by reviewing prior year audit work papers and audit reports Develop or revise audit procedures for all audit Perform risk based audit planning and develop the audit program for assigned internal audit projects Develop business based audit recommendations and draft audit reports Prepare audit reports and conduct audit briefings upon completion of audits Administer the audit and internal controls Submit conclusions and audit reports for each audit Verify compliance with audit recommendation

Keywords: Jefferson Regional Medical Center, Pine Bluff , Medical Auditor, Accounting, Auditing , Pine Bluff, Arkansas