Senior Medical Audit Analyst

Smith Arnold Partners

We are an academic acute care medical center looking for a Senior Medical Audit Analyst for our growing HIM Department. As the Senior Medical Audit Analyst you will be responsible for the accuracy, consistency and quality of coding using recognized disease and procedure coding classifications (ICD-10CM, ICD-10PCS, CPT,-4 HCPCS et.), as well as, evaluating correct sequencing of codes to ensure appropriate billing and reimbursement. You will conduct performance improvement activities regarding coding accuracy, completeness, data quality and integrity; identifying issues in correct sequencing of codes and assignment of grouper payment methodology.

Title: Senior Medical Audit Analyst
Location: Tarrytown, NY
Salary: $95,000

-Perform ongoing medical record reviews, evaluate and correct all cases flagged by editing software to address issues with grouper methodology and ensure appropriate reimbursement
-Provide assistance to Coding Manager in capturing and monitoring statistics and in conducting in-service training for appropriate staff
-Analyze data reports for trends and impact of coding classification updates and changes to grouper methodology to provide information for revenue forcasting and strategic planning
-Collaborate with Physicians and other clinical staff in obtaining data for research and in addressing documentation clarification to support coding classification conventions
-Participate in workshops and training sessions to maintain knowledge of changing rules and update understanding of coding classifications and grouper methodology

-Must have completed a course in Coding using ICD-10CM, ICD-10PCS and CPT4 and other applicable disease and procedure coding classifications
-Experience reviewing and abstracting records for patients in all levels of care in a complex health care environment
-A minimum of two years related experience
-Certification as an RHIT, RHIA, CCS