LouisvilleKYRecruiter
the smart solution for Louisville jobs

Supervisor, Professional Audit Staff

Company: UofL Physicians
Location: Louisville
Posted on: December 8, 2018

Job Description:

JOB SUMMARY The team member performs highly technical and specialized functions. The Audit Supervisor handles the day-to-day operations of the Compliance Audit Department - including personnel issues, process flows, and audit deadlines. This position requires above average analytical skills, excellent verbal and written communication skills, problem-solving skills, self-motivation, and the ability to make decisions using available data. The audit function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, risk trending and educational opportunities. The audit function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. JOB RESPONSIBILITIES Essential Functions: Supervisor (55% Weight) Work to maintain complex audit processes for physicians, non-physician practitioners, coders and coding supervisors. Support audit staff in accordance with established auditing processes established and assist in making recommendations for improvement to the AVP Compliance. Work in conjunction with AVP, Compliance to establish patterns or trends that require additional training or corrective action Assist with incorporating audit findings into training programs Assist with development of policy and procedures in relation to audit processes Assist with revisions to Policy and Procedure and/or work process development based on audit finding Compliance (30% Weight) Ensure that documentation meets the Teaching Physician Rules as mandated by CMS and ULP policies prior to release of a code for billing Ensure that documentation for Advanced Practice Providers meets the payer specific rules prior to release of a code for billing Communication/Education (15% Weight) Develop daily/weekly communication with providers. Provide comments/suggestions relative to weak areas identified in the coding reviews. Provide trending deficiencies to CBO Supervisor as appropriate. Responds in a timely manner to questions from providers, department representatives. Maintain compliance with rules and regulations regarding coding. Review auditor metrics to ensure standards and expectations are met for best audit practice. Ability to work within a team environment and meet monthly goals. Other duties as assigned. MINIMUM EDUCATION & EXPERIENCE Position requires 7-10 years of coding experience and a minimum of 2 years in a supervisory role. Certified Professional Coder, Certified Processional Medical Auditor designation required. High School education or GED required, related degree preferred. Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA. Must have and maintain CPMA through AAPC. Three years direct coding experience and in depth Coding and HIPAA regulations for physician offices, preferred. KNOWLEDGE, SKILLS, & ABILITIES Ongoing coding guideline knowledge is required Advance knowledge of medical terminology, abbreviations, techniques and surgical procedures Advance knowledge of medical codes involving selections of most accurate and description code using the ICD-9-CM, ICD-10-CM, CPT, HCPCS, and IHS coding conventions. Advance knowledge of medical codes involving selection of most accurate and descriptive code using the CPT codes for billing of third party resources Skill in correlating generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct ICD-10-CM code Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes. Requires the knowledge of the business use of computer hardware and software to ensure the effectiveness and quality of the processing and presentation of data Strict compliance with all coding guidelines at all times. Working in a highly accurate and yet efficient manner. Strict attention to detail in both coding and EMR entries. WORKING CONDITIONS Sedentary Work: Lifting 10lbs. maximum and occasionally lifting and/or carrying items as needed. Frequent Talking (Expressing or exchanging ideas by means of the spoken word.) Frequent Hearing (Perceiving the nature of the sounds by the ear.) Frequent Seeing (Visual acuity, depth perception, field of vision, color vision). Consistent use of hand movement for keyboarding purposes. Concentration varies depending on the tasks at hand. High levels of mental concentration are required. Must handle multiple tasks simultaneously and is subject to interruptions. Physical effort requires sitting and reaching with hands and arms. Manual dexterity, visual acuity, and the ability to speak and hear are required HOW TO APPLY Please follow the URL link to submit your resume: Only those candidates whose experience best meets our requirements will be contacted. University of Louisville Physicians is an Equal Opportunity Employer. Current UofL Physicians employees must follow the UofL Physicians Internal Transfer Policy.

Keywords: UofL Physicians, Louisville , Supervisor, Professional Audit Staff, Accounting, Auditing , Louisville, Kentucky

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Accounting, Auditing Jobs


Cost Accountant I
Description: Cost Accountant I Apply Now Description/Job Summary Fruit of the Loom, an independent, wholly owned subsidiary of Berkshire Hathaway Inc. leading international basic apparel company, has an immediate (more...)
Company: Fruit of the Loom
Location: Bowling Green
Posted on: 12/12/2018

Tax Professional
Description: Tax Professional Seeking experienced seasonal Tax Preparers who want to build their book of business and advance their tax knowledge to join our network of professionals, serving clients with diverse (more...)
Company: H&R BLOCK
Location: Cincinnati
Posted on: 12/12/2018

Dealer Finance Lender III
Description: Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account or sign in with an existing account . Your account will (more...)
Company: BB&T
Location: Louisville
Posted on: 12/12/2018


health Program Analyst-health Equity
Description: Description ESSENTIAL FUNCTIONS: Provides technical assistance, consultation, education and instruction to staff and the community Monitors, tracks, documents and evaluates public health prevention and (more...)
Company: City of Louisville, KY
Location: Louisville
Posted on: 12/9/2018

Current College Students - Business (Finance, Accounting, Economics) Tutor (more than $1k+/mo)
Description: Varsity Tutors is looking to contract with tutors to connect with clients across a variety of academic subjects and major test prep through Varsity Tutors' platform. There are many benefits of tutoring (more...)
Company: Varsity Tutors
Location: Covington
Posted on: 12/12/2018

Billing Data Analyst
Description: As a Billing Data Analyst, you 039 ll have the opportunity to provide data analysis to support, compile and report key information for billing operations and our overall revenue cycle objectives. This (more...)
Company: Mommy Jobs Online
Location: Louisville
Posted on: 12/9/2018

Banking Loan Transition Specialist
Description: LOAN Transition Specialist Classification: Exempt Job Summary: Loan Transition Specialist is responsible for planning, administration and bank employee training to facilitate CSI's conversion processes. (more...)
Company: Computer Services
Location: Lexington
Posted on: 12/10/2018

Tax Expert - CPA, Enrolled Agent or Practicing Attorney - Se
Description: Overview Join Our Virtual Tax Network At Employer, our mission is to power prosperity around the world. Tax experts support that mission to our TurboTax customers by: providing valuable guidance, instilling (more...)
Company: Intuit
Location: Louisville
Posted on: 12/10/2018

Virtual Tax Professional - CPA, Enrolled Agent or Attorney
Description: Overview Join Our Virtual Tax Network At Intuit, our mission is to power prosperity around the world. Tax experts support that mission to our TurboTax customers by: providing valuable guidance, instilling (more...)
Company: Intuit
Location: Louisville
Posted on: 12/12/2018

Staff Accountant
Description: The Staff Accountant will support a company of less than 25 people. We are a high energy company. This person needs to a highly motivated, self-starter who can work independently
Company: Anonymous
Location: Cincinnati
Posted on: 12/10/2018

Log In or Create An Account

Get the latest Kentucky jobs by following @recnetKY on Twitter!

Louisville RSS job feeds