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Healthcare Compliance Auditor/Educator

Location: Fort Worth, TX
Job # 11415296
Date Posted: 09-25-2018
Summary: Assists the vice-president in carrying out the responsibilities of the Internal Audit function. Conducts auditing and monitoring on physicians' billing activities to assure accuracy and compliance within Cook Children's Health Care System policies, government regulations and third-party payor contracts. Consults with physicians, CCPN administration, and CCHCS employees on Medicare, Medicaid and other payer requirements as requested.

Qualifications:
  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist-Physician (CCS-P) required.
  • An Associate's Degree is required with a Bachelor's degree being preferred.
  • This position requires a minimum of five years in an acute care setting, physician office setting and outpatient setting.
  • 2 years of additional experience can be used in lieu of the Associate's degree requirement.
  • Expert knowledge of ICD-9-CM, CPT, HCPCS, DRG, and APC coding systems.
  • Computer literacy, effective teaching skills and excellent interpersonal, problem-solving and verbal/written communications skills required.
  • Extensive auditing experience in health care setting required.
  • Current knowledge with reimbursement issues as it pertains to Medicare, Medicaid, and third-party payers.
  • Training in anatomy and physiology, pathology and medical terminology required.
  • Pediatric experience is highly desirable.
  • A coding proficiency test required through on-site testing.
Cook Children's is an EOE/AA - Minority/Females/Disability/Vet

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Gyna M. Bivens
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