Compliance Auditor - Patient Financial Services 8/26/2016

UHS of Delaware Inc. - Corporate Office KING OF PRUSSIA, PA

Company
UHS of Delaware Inc. - Corporate Office
Job Classification
Full Time
Company Ref #
197672
AJE Ref #
575984156
Location
KING OF PRUSSIA, PA
Job Type
Regular
Education
Associates Degree

JOB DESCRIPTION

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Description:
Universal Health Services, Inc. (UHS) knows what it
takes to lead, inspire and succeed. One of the nation s
largest and most respected hospital companies, UHS owns
and operates through its subsidiaries acute care
hospitals, behavioral health facilities and ambulatory
centers in the United States, Puerto Rico, the U.S.
Virgin Islands and the United Kingdom.
UHS built an impressive record of achievement and
performance, steadily growing from a startup company
with zero revenue into a Fortune 500 corporation with
annual revenue that exceeds $9 billion. The company's
operating philosophy has proven to be effective: Build
or acquire high quality hospitals in rapidly growing
markets, then invest in the people and equipment needed
to allow each facility to thrive and become a dominant
healthcare provider in its community.
Headquartered in King of Prussia, PA, UHS ranks on the
Fortune 500 list of America's largest corporations with
over 74,000 employees, and is consistently listed among
Fortune's "Most Admired Companies and one of the 30
Most Meaningful Companies To Work For in America by
Business Insider.
The Compliance Auditor, Patient Financial Services,
coordinates monitors and performs coding and charge
audits to ensure compliance with governmental
regulations and guidelines across the Acute Care system,
using key findings to develop and provide feedback,
training and education to all levels of personnel.
Essential Job Duties:
Completes internal compliance coding and charging audits
to compliment targeted reviews and results from various
outside reviewers. Offers guidance for the ongoing
coding and charge practice methodologies across the
acute care hospitals, including inpatient and outpatient
area focuses.
Based on new requirements, audit findings, RACs, MACs,
etc. prioritizes and develops training/education
protocols for UHS hospitals in ICD-9-CM, CPT-4, APC s,
Emergency Room Evaluation and Management, coding
guidelines, modifier guidelines, and proper diagnosis
and procedure code selection.
Responsible for assisting in reviewing and assessing
charge capture methodologies and the documentation of
orders and clinical documentation to support charges.
Reviews department charge sheets and charge entry
modalities within ancillary systems. Identifies areas of
opportunity and monitors compliance with internal and
regulatory standards related to charging, providing
feedback and education to facility staff as needed.
Investigates and resolves related issues in conjunction
with the Charge Master Specialists including assessment
of appropriate modifiers, accuracy of DRG Assignment,
completeness of coding, CCI and OCE edits, medical
necessity, billing questions, denials, and charge
reconciliation issues.
Assists in preparation of policies related to compliance
in coding and charging.
Requirements:
Bachelor's degree with a minimum of 3 years required;
RN, LPN and Coding Certification (CCS) through AHIMA,
CPC credentials a plus
Proficient in current Coding and Charging Practices,
including UHDDS, AHIMA, CMS and other governmental
regulations and guidelines
Proficient in chart review, coding methodologies with
the ability to understand hospital claims, chargemaster,
and regulatory and payer communications and payment
methodologies.
Knowledge and experience using EMRs, medical necessity
software, charge master systems and Microsoft Office.
Must be able to work independently in a professional
manner, with only general supervision.
Excellent communication skills, including English
writing and speaking skills sufficient to allow
effective, positive communications with all levels of
personnel within the organization.
Travel 25%.
This opportunity provides a rewarding career,
challenging and rewarding work environment as well as
growth and development opportunities within UHS and its
subsidiaries, including competitive compensation,
excellent Medical, Dental, Vision and Prescription Drug
Plan, and 401k with company match.
*UHS is a registered trademark of UHS of Delaware, Inc.,
the management company for Universal Health Services,
Inc. and a wholly-owned subsidiary of Universal Health
Services, Inc. Universal Health Services, Inc. is a
holding company and operates through its subsidiaries
including its management company, UHS of Delaware, Inc.
All healthcare and management operations are conducted
by subsidiaries of Universal Health Services, Inc. To
the extent any reference to "UHS or UHS facilities" on
this website including any statements, articles or other
publications contained herein relates to our healthcare
or management operations it is referring to Universal
Health Services' subsidiaries including UHS of Delaware.
Further, the terms "we," "us," "our" or "the company" in
such context similarly refer to the operations of
Universal Health Services' subsidiaries including UHS of
Delaware. Any employment referenced in this website is
not with Universal Health Services, Inc. but solely with
one of its subsidiaries including but not limited to UHS
of Delaware, Inc.
UHS is not accepting unsolicited assistance from search
firms for this employment opportunity. Please, no phone
calls or emails. All resumes submitted by search firms
to any employee at UHS via-email, the Internet or in any
form and/or method without a valid written search
agreement in place for this position will be deemed the
sole property of UHS. No fee will be paid in the event
the candidate is hired by UHS as a result of the
referral or through other means.