收入完整性麻醉审计员
Revenue Integrity Anesthesia Auditor
公司简介
Shriners Children’s 是一个尊重、支持并重视每个人的组织。被《福布斯》评为 2025 年最佳中型企业雇主，我们致力于提供卓越的患者护理，拥抱具有全球影响力的多学科教育和研究。我们营造一个以循证实践、经验、创新和批判性思维为价值的学习环境。我们的同理心、诚信、责任感和韧性定义了我们在儿科专科护理领域的领导地位，服务于我们的儿童及其家庭。
在全球拥有 20 多家医院、门诊诊所、日间护理中心和外展地点，我们为 18 岁以下的儿童提供优质的医疗服务，无论其家庭是否有支付能力或保险状况如何。请点击此处了解我们的更多地点信息。
现任员工：请登录 Workday 点击此处通过“职位中心”内部申请
职位描述
麻醉审计员负责对麻醉记录进行系统审查，以确保准确性、完整性和符合监管及机构标准。主要职责包括验证所有必要的文件、医师签名和费用是否齐全并得到适当支持。该职位在麻醉科的质量保证和合规性方面发挥关键作用。麻醉审计员还将根据需要协助其他审计工作。
主要职责：
- 对麻醉记录进行全面审查，以确保文档的准确性和完整性
- 验证所有必要的医师签名——包括麻醉医师、CRNA 和指导医师——是否出现在文档中
- 遵守内部流程、外部监管标准（包括 CMS 和联合委员会）以及所有适用的计费要求；此外，识别每个司法管辖区所需的特定州级要求（例如，麻醉助理、监督要求、医师执业范围）
- 发现文档中的空白，并与医师沟通以确保完成和签名要求得到满足
- 监测、跟踪并报告重复出现的错误或文档趋势，向医师提供支持流程改进计划和教育的信息
- 与计费、合规和临床部门合作，解决文档、监管和流程相关的需求
- 确保安全
查看英文原文
Company Overview
Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.
CURRENT EMPLOYEES: Please log into Workday Click Here to apply internally through the "Jobs Hub"
Job Description
The Anesthesia Auditor is responsible for the systematic review of anesthesia records to ensure accuracy, completeness, and compliance with regulatory and institutional standards. Primary responsibilities include verifying that all required documentation, provider signatures, and charges are present and appropriately supported. This role plays a key part in supporting quality assurance and regulatory compliance within the anesthesia department. The Anesthesia Auditor will also assist with other auditor duties as assigned.
Key Responsibilities:
- Comprehensive review of anesthesia records to ensure documentation accuracy and completeness
- Verify that all required provider signatures- including those of the anesthesiologist, CRNA, and supervising physician- are present on the documentation
- Maintain adherence to internal protocols, external regulatory standards- including CMS and the Joint Commission- and all applicable billing requirements; additionally, identify all state-specific requirements necessary for compliance and billing in each jurisdiction (e.g., anesthesia assistants, supervision mandates, provider scope of practice)
- Detect gaps in documentation and follow up with providers to ensure completion and signature requirements are met
- Monitor, track, and report recurring errors or documentation trends to providers to support process improvement initiatives and education
- Collaborate with billing, compliance, and clinical departments to address documentation, regulatory, and process-related needs
- Ensure the secure and confidential handling of all medical records and patient information in accordance with HIPAA and organizational policies
- Conduct detailed Hospital, Ambulatory Surgery Center, and Outpatient Clinic audits to ensure all charges are captured, supported by orders, and appropriately documented; additionally, review audit findings with the appropriate representative
- Execute special audits on an ongoing basis, summarizing results for executive leadership and coordinating education and training efforts as needed
- Analyze billing and compliance issues through the lens of federal and state healthcare regulations, as well as payer guidelines to ensure regulatory compliance
- Deliver targeted education on billing and compliance matters identified during reviews or upon request from facilities, administration, and management, employing webinars, presentations, bulletins, newsletters, SHINE modules, and other appropriate tools
Required Qualifications:
- Minimum of 5 years’ experience in medical chart review, medical auditing, or clinical documentation
- Functional knowledge of DRG and CPT coding systems
- Proficiency with Epic EMR
- Bachelor's Degree in Nursing, HIM, or related healthcare field - in lieu of degree, equivalent experience of at least 5 years in auditing and monitoring may be substituted for a degree
Preferred Qualifications:
- Prior experience with anesthesia services or perioperative documentation
- Familiarity with regulatory requirements (e.g., CMS the Joint Commission, ASA guidelines)
- RHIA or RHIT certification
Compensation is determined based on years of relevant experience and departmental equity.Originally posted on Himalayas