New Jersey Licensed Hospital Auditor
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Job Summary
Leading hospital billing and coding audits, the full-time New Jersey Licensed Hospital Auditor will conduct on-site and desk audits, develop audit protocols, and provide guidance on ICD-9-CM and DRG assignments while working remotely.
Key responsibilities
- Identifies and presents billing discrepancies during audits and coordinates referrals for improper claim payments
- Compiles audit statistics and information for presentation to accounts and regulatory agencies
- Trains new staff on department and audit procedures while updating audit processes to align with innovations in clinical data review
Required qualifications
- High School Diploma/GED required; Bachelor's degree in Health Information Management preferred
- Minimum of 3 years of experience in a medical records department of an acute care hospital or healthcare facility
- Experience with DRG validation and ICD-9-CM training
- RN license preferred, along with RHIT/RHIA certification and New Jersey Hospital Association membership
- Valid driver's license and access to a car
Complete Job Description
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