2 jobs found in Chattanooga

Description: Job Summary\: The Compliance Auditor/Monitor has the primary responsibility of developing, implementing and conducting compliance reviews for both multi-specialty professional services and hospital services under the direction of the Manager of Compliance Auditing and Monitoring Services. All such reviews for both professional and hospital claims must be performed in accordance with requirements of Centers for Medicare and Medicaid (CMS) and the Compliance Audit Methodology. In this role, the Compliance Auditor will lead, provide expert technical skills, and assist with highly visible, sensitive, and multifaceted auditing and monitoring projects. He/She will evaluate compliant billing, documentation, and coding requirements, summarize findings, and propose recommendations for multi-specialty professional services and hospital claims. The Compliance Auditor will help determine if corrective action plans are needed to mitigate any risks identified in the audit. The...

Overview: The Chattanooga Heart Institute offers the most comprehensive cardiac care available in this region. Founded in 1976 we now have six offices in Tennessee and one in Georgia. Our practice is made up of 27 board-certified cardiologists and four cardiothoracic surgeons. We merged with CHI Memorial Health Care System in 2011 which is part of CommonSpirit Health. CommonSpirit has more than 700 care sites across the U.S. and is committed to building healthy communities. Responsibilities: Job Summary: Coding of all hospital and office charges, cardiac procedures, imaging procedures and all other services performed by the clinical staff. Review and implementation of process both new and established. Essential Responsibilities: Physician and staff education as approved by the Director of Revenue Cycle. Read and stay current on all CMS and compliance related issues (Advising Director of any changes or issues that affect the Practice.) Review documentation and...