PB外科审计员
PB Surgical Auditor
与一家以卓越著称的组织携手。Cedars-Sinai 连续19年获得国家研究公司（National Research Corporation）的消费者选择奖，因其在洛杉矶提供最高质量的医疗服务而备受认可。我们还获得了咨询公司（Advisory Board Company）的年度最佳工作场所奖项！我们提供优秀的福利包，包括医疗保障、带薪休假和403(b)退休计划。加入我们！了解为什么《美国新闻与世界报道》（U.S. News & World Report）将我们列为全美最佳医院之一。
您在这个职位中将负责的工作内容：
编码审计员在编码主管的总体指导下工作。编码审计员负责在预审或回顾性工作流程中审查病例，以验证编码配置文件。这包括适用于病例类型的代码集、提取的数据元素、遗漏的查询机会以及其他相关的病例数据收集点。审计员评估符合所有编码指南的情况，包括但不限于：内部编码政策/程序/手册、美国医院协会（AHA）和美国医学协会（AMA）的编码参考、地方、州和联邦编码指南。
- 在既定部门生产率和准确率标准内执行高质量的编码审查或审计。协助处理编码审计后需要重新计费的案件，并协助解决来自计费部门所需的编码更正。
- 提供书面总结报告。
- 根据建议协调并主持一对一或小组反馈会议。
- 与内部和外部合作伙伴及同级部门（如编码运营、临床文档完整性（CDI）、付款人收入管理（PRM）和合规收入完整性（CRI））保持适当的沟通。
- 在人员短缺期间协助同级部门进行病例的生产性编码。
- 协助提高报告和研究的数据质量，确保服务的准确计费和报销，从而整体提升患者的护理质量。
- 提供一对一或小组教育会议，组织圆桌讨论，为编码通讯提供内容，提供基础水平的趋势或数据审查以发现改进机会。
- 通过数据报告和趋势机会评估代码，进行审计以验证发现结果，生成包含行动计划建议的总结报告。
- 执行其他任务（如数据质量报告等），根据编码主管的指派完成。
查看英文原文
Align yourself with an organization that has a reputation for excellence. Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year! We offer an outstanding benefits package, including healthcare, paid time off and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.
What you will be doing in this role:
The Coding Auditor works under the general direction of the Coding Supervisor. The Coding Auditor is responsible for reviewing encounters in either a prebill or retrospective workflow to validate a coding profile. This includes applicable code sets to encounter type, abstracted data elements, missed query opportunities, and other related encounter data collection points. Auditors evaluate compliance with all coding guidelines including but not limited to: Internal Coding policies/procedures/handbook, American Hospital Association (AHA) and American Medical Association (AMA) coding references, local, State, and Federal Coding Guidelines.
- Performs quality coding reviews or audits within established departmental productivity and accuracy standards. Assists with processing re-bills post coding audit changes and assists with coding corrections needed from billing department.
- Provides written summary reports of findings.
- Coordinates and leads 1:1 or small group feedback sessions based on recommendations
- Maintains appropriate open communication with internal and external partners and peer departments such as Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management (PRM), and Compliance Revenue Integrity (CRI).
- Assist peer departments with production coding of cases during shortage of staff.
- Assist in improved data quality for reporting and research, accurate billing and reimbursement of services rendered which overall improves the quality of care for the patient.
- Provide 1:1 and small group education sessions, facilitate round table discussions, contribute content to the coding newsletter, provide basic level trending or data review for opportunities.
- Evaluate codes through data reports and trended opportunities, audit to validate findings, produce summary reports with recommendations of action plans.
- Performs additional activities (e.g. Data quality reports, etc.) as assigned by the Coding Supervisor.
*Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas*
Originally posted on Himalayas