Revenue Compliance Auditor

Description

Introduction

Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Revenue Compliance Auditor opening with St. David's HealthCare today and find out what it truly means to be a part of the HCA Healthcare team.

Benefits

St. David's HealthCare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

We are seeking a(an) Revenue Compliance Auditor for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!

Job Summary and Qualifications

As the Revenue Compliance Auditor, you will educate and provide support to departments for process development regarding charging or coding discrepancies. You will also be responsible for trending revenue and/or coding compliance to identify education opportunities. You will research billing and coding regulations to develop Cardiovascular and Interventional Radiology, as well as other focus areas, to ensure charging and documentation practices comply with regulations.

• You will perform audits on Cardiovascular and Interventional Radiology and other high risk areas for coding and charging compliance
• You will provide clear and concise reporting to leadership
• You will consult with departments on charge practices
• You will consult with appropriate departments on the integrity of the CDM and ties to the clinical modules
• You will provide general and focused education to appropriate departments as needed
• You will consult on LCD/NCD research and root cause analysis, as well as on processes to support those policies

What qualifications you will need:

Experience

• 3+ years of experience in CPT and HCPS coding, hospital coding with Cardiovascular and Interventional Radiology accounts, government/non-government billing practices, Medicare and CCI edits
• 3+ years of experience in Medicare chart auditing, billing, and charge master review
• 5+ years of experience in outpatient hospital coding with focus in Cardiovascular and Interventional Radiology coding

Education

• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), and/or Certified Coding Specialist (CCS)
• High school graduate or equivalent

St. David's HealthCare, is one of the largest healthcare systems in Texas and the third-largest employer in the Austin area. St. David's HealthCare was formed through a unique partnership between HCA Healthcare and two local non-profits - St. David's Foundation and Georgetown Health Foundation.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Across HCA Healthcare's more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare.
Together, we uplift and elevate our purpose to give people a healthier tomorrow." - Jane Englebright, PhD, RN CENP, FAAN
Senior Vice President and Chief Nursing Executive

If you find this opportunity compelling, we encourage you to apply for our Revenue Compliance Auditor opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Employment Type: Full-time