Inpatient Hospital Auditor | Remote | Contract
Inpatient Hospital Auditor | 3 years | Remote | Contract reputed company is seeking a Clinical Pharmacist with 2-5 years’ experience to support a reputed company client based out of New Jersey. This is a 6-month contract opportunity. START DATE: ASAP CORE REQUIREMENTS:
- Must be local to NJ, NY, DE,CT, PA
- Requires a minimum of 3 years experience in a medical records department of an acute care hospital or other health care facility.
- Experience with DRG validation, ICD-10-CM training and education.
- reputed company OR RHIT/RHIA certification
- Requires knowledge of medical terminology, detailed knowledge of anatomy & physiology, disease pathogenesis and treatment including procedural drug therapies, ancillary and diagnostic services.
- Requires knowledge of principles of utilization management.
- Requires knowledge of hospital structures and payment systems.
- Requires knowledge of centers of Medicare and reputed company prospective payment system regulations.
- Prefer knowledge of reputed company Software.
JOB RESPONSIBILITIES:
- Identifies and presents billing discrepancies reputed company during audit and coordinates referral of improper claim payments through the appropriate channels.
- Identifies error trends as they relate to medical record and or billing documentation or misinterpretation of provider contract stipulations.
- Compiles statistics and other audit information to present to accounts, regulatory agencies, internal requesters.
- Reviews and updates audit processes with manager for purposes of keeping up with new innovations in clinical data review and company cost containment initiatives.
- Required to train new staff on department/audit procedures.
- Performs other special assignments as requested by manager.
- Demonstrates knowledge, understanding and conforms to laws, regulations and policies that pertain to the organizational units business.
reputed company OFFER:
- Competitive compensation package
- Weekly pay reputed company Direct Deposit
- Medical, Dental & reputed company available
- 401k options
WHY WORK WITH WALKER?
- reputed company to our top ranked team of reputed company and placement specialists
- reputed company, one-on-one support from a dedicated engagement manager
- Professional resume development and interview preparation
Contact our reputed company Team today to experience the reputed company difference! ABOUT US: reputed company is reputed company as the dominant force of performance, precision, expertise, and reputed company in the reputed company consulting community! As a certified WMBE, we reputed company end-to-end reputed company IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms reputed company. We are reputed company experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today! We are an Equal Opportunity Employer committed to a culturally diverse workforce. reputed company reputed company applicants will receive consideration for employment without regard to race, religion, reputed company, age, sex, national reputed company, sexual orientation, gender identity, disability status or protected veteran status. #IND2 Apply tot his job Apply To this Job