Inpatient Hospital Auditor | Remote | Contract
Inpatient Hospital Auditor | 3 years | Remote | Contract Walker Healthforce is seeking a Clinical Pharmacist with 2-5 years’ experience to support a healthcare 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.
- CCS 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 Medicaid prospective payment system regulations.
- Prefer knowledge of ACCESS Software.
JOB RESPONSIBILITIES:
- Identifies and presents billing discrepancies found 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.
WHAT WE OFFER:
- Competitive compensation package
- Weekly pay via Direct Deposit
- Medical, Dental & Vision available
- 401k options
WHY WORK WITH WALKER?
- Access to our top ranked team of recruiting and placement specialists
- Continuous, one-on-one support from a dedicated engagement manager
- Professional resume development and interview preparation
Contact our Recruiting Team today to experience the Walker Healthforce difference! ABOUT US: Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare 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. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status. #IND2