
Cardiac Cath Lab Auditor
AdventHealth
About the role
Performs inpatient and outpatient audits related to patient billing in assigned area for Cardiac Cath Lab. Researches and analyzes charges, CPT coding, and national coverage decisions in conjunction with medical charts to ensure compliance with Medicare, Medicaid and other third party payers as well as to ensure appropriate reimbursement. Advises, educates and acts as clinical/billing liaison between ancillary departments, finance and business office staff. Ensures charge accuracy by reviewing patient charts and corresponding charges for appropriateness. Provide recommendations to ensure compliance; improve procedures, revenue, cash flow, and strengthen controls. Performs follow-up audits when appropriate. Produce and distribute reporting on errors to management and staff as well as provide necessary educational training. Also, performs other duties as assigned.
Responsibilities
- Performs inpatient and outpatient audits related to patient billing in assigned area for Cardiac Cath Lab.
- Researches and analyzes charges, CPT coding, and national coverage decisions in conjunction with medical charts to ensure compliance with Medicare, Medicaid and other third party payers as well as to ensure appropriate reimbursement.
- Advises, educates and acts as clinical/billing liaison between ancillary departments, finance and business office staff.
- Ensures charge accuracy by reviewing patient charts and corresponding charges for appropriateness.
- Provide recommendations to ensure compliance; improve procedures, revenue, cash flow, and strengthen controls.
- Performs follow-up audits when appropriate.
- Produce and distribute reporting on errors to management and staff as well as provide necessary educational training.
- Also, performs other duties as assigned.
Requirements
- High School Grad or Equiv Required
- 5 Work Experience Required
- Registered Cardiovascular Invasive Specialist (RCIS) Required
- Registered Cardiac Electrophysiology Specialist (RCES) Required
- Certified Interventioal Radiology Cardiovascular Coder (CIRCC) Required
- Certified Cardiac Device Specialist (CCDS) Required
Benefits
- Paid Days Off from Day One
- Student Loan Repayment Program
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
About the Company
We have more than 50 years of experience using innovative medicine to elevate health care in the Tampa region. We continue to make history every day through our clinical research program, which applies the latest advancements in medical technology to treatments that can be used today.
Job Details
Salary Range
$21,630 - $41,040/hourly
Location
Tampa, Florida, United States of America
Employment Type
Full-time
Original Posting
View on company website