Clinical Auditor-Blank Physicians Support

Company: UnityPoint Health
Location: Des Moines
Posted on: January 24, 2023

Job Description:

Overview:Supports the delivery of quality medical record services, by accurately performing coding and sequencing on all assigned records. Correctly completes an abstract and / or audit for assigned patients including operative report review. Provides support for appeals to insurance companies and government agencies regarding financial exclusions.This position is primarily remote, but does involve some in person meetings with providers as needed based on audits and or when onboarding new providers. In person meetings will be located on the Des Moines campus.Why UnityPoint Health?Commitment to our Team - We've been named a Top 150 Place to Work in Healthcare 2022 by Becker's Healthcare for our commitment to our team members.Culture - At UnityPoint Health, you Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.Benefits - Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in.Diversity, Equity and Inclusion Commitment - We're committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.Development - We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.Community Involvement - Be an essential part of our core purpose-to improve the health of the people and communities we serve.Visit us at UnityPoint.Org/careers to hear more from our team members about why UnityPoint Health is a great place to work. https://dayinthelife.Unitypoint.Org/Responsibilities: Demonstrates ability to consistently meet the department work schedule. Accurately codes and sequences identified diagnosis and procedures on charge tickets. Audits physician medical records and determine appropriate diagnosis and procedure codes. Provide coding education to professional staff that will increase the billing effectiveness and compliance. Maintains charge ticket templates. Acts as the liaison between BHP and insurance and government payers for appeal processes.Qualifications:Education: High School diploma or equivalent. Completion of nationally recognized Coding Program (AHIMA/AAPC).Experience: Prior experience in medical coding of professional charges required and experience in pediatric specialty coding and documentation guidelines or willingness to learn. Working knowledge of medical terminology preferred.License(s)/Certification(s): Valid driver's license when driving any vehicle for work-related reasons. CPC (Certified Professional Coder) through American Academy of Professional Coders OR CCS-P (Certified Coding Specialist - Professional) through American Health Information Management Association OR CPMA (Certified Professional Medical Auditor) through American Health Information Management Association.Knowledge/Skills/Abilities: Research and critical thinking skills needed to review, interpret, and teach payor policies and related reference materials. Working knowledge of Medicare and Medicaid policies regarding documentation guidelines, teaching physician guidelines. Inpatient/outpatient surgical, psychological/psychiatric documentation guidelines. Demonstrated ability to use reference books and materials.#DMFD123

Keywords: UnityPoint Health, Des Moines , Clinical Auditor-Blank Physicians Support, Healthcare , Des Moines, Iowa