Compliance Auditor - RUHS MC

ABOUT THE POSITION

Riverside University Health System (RUHS) s eeks a Compliance Auditor ( Administrative Services Manager I), to support the health system's Corporate Compliance Department.

The Compliance Auditor will be responsible for reviewing inpatient and/or outpatient records for quality and comprehensive coding.

The incumbent reviews records regarding coding regulations and compliance and provides feedback and education to coders and/or physicians.

The Compliance Auditor is responsible for performing annual, periodic or other focused medical record audits as requested to oversee the quality and accuracy of physician, inpatient and outpatient coding and documentation.

This position requires effective communication with all RAC stakeholders and excellent organizational skills to ensure timeliness and accuracy of response requests, as well as continual program development through training and process improvement.

The incumbent should have experience creating and delivering coding presentations to a variety of audiences and be comfortable communicating with physicians.

This position may provide supervision to department staff.

The ideal candidate for this position will possess five (5) years of experience coding inpatient and/or outpatient records in ahospital utilizing ICD-10/CPT/HCPCS and other third-party payor codes.

This experience must include at least two years of lead or supervisory experience.

CPMA certification is preferred.

Work Schedule: 9/80

Work Address: 7898 Mission Grove Parkway, Riverside

Meet the Team! Riverside University Health System-Medical Center consistently receives national recognition for its progressive and innovative care, as well as being known as one of the top employers in the region.

The 439-bed Medical Center is a designated Stroke Center, Level I Trauma Center, and the only Pediatric ICU in the region.

Can you see yourself here?

For more information on RUHS-Medical Center, please visit www.ruhealth.org
For questions regarding this recruitment contact the recruiter, Angela Levinson :
alevinson@rivco.org / 951-955-5562

EXAMPLES OF ESSENTIAL DUTIES
Establishes implements and maintains a review process for coding/CDI compliance, including a formal review (audit) process.

Reviews inpatient and/or outpatient coded records for quality and comprehensive coding and documentation to ensure compliance with ICD-10-CM, CPT4, and HCPCS level II coding conventions.

Analyzes and interprets coding data to identify problems or trends.

Ensures compliance with clinical documentation Integrity, coding standards and government regulations.

Maintains knowledge of coding and billing requirements and regulatory changes.

Assists in the ongoing development and maintenance of a coding/abstracting policies, procedure and practice standards.

Audits, reports and documents all results to the Compliance officer utilizing spreadsheet/software algorithms as necessary.

Provides, initiates, and supports training/education for ...