Integrity & Compliance Auditor- Full time Chillicothe, OH, United States Posted on 08/14/2023 B[...]
Adena Health System
Chillicothe, OH, USA
The Integrity & Compliance Auditor (Auditor) contributes to the fulfillment of the organization’s mission, vision, and values by auditing the regulated practices (including but not limited to billing and coding) throughout the organization to ensure compliance with all applicable state and federal laws and regulations. The Auditor will review compliance of standards and/or regulations imposed by the health system’s internal controls. To perform the obligations of this position, the Auditor must understand operations and practices within the health system and must establish and/or maintain a collaborative and consultative relationship with all caregivers, including leaders and providers. The Auditor performs coding, billing and abstracting functions of professional fee encounters for providers in our multi-specialty group and facility encounters. The Auditor reviews medical records for documentation to ensure medical necessity is met according to CMS Local Coverage Determination...