Auditor/Educator- NHMG Administration

at  Novant Health

Overview:
The team member’s Number One job responsibility is to deliver the most remarkable patient experience, in every dimension, every time, and understands how to contribute to the health system’s vision of achieving that commitment to patients and families. At Novant Health, people are our business. We treat each other with respect and compassion. We embrace the differences in our strengths while fostering an environment of inclusion, empowerment, inspiration and courage. The team member will use Novant Health’s First Do No Harm (NHFDNH) safety behaviors/error prevention tools and high reliability strategies as appropriate to ensure a safe, remarkable patient experience. Responsible for conducting provider documentation audits to assess compliance with documentation, coding, and billing guidelines as established by Medicare, Medicaid, Tricare, and other payers as appropriate. These guidelines may include, but are not limited to, inpatient and outpatient professional services, ancillary services (ex., labs, imaging), procedures (ex., injections, infusions, bariatric services), and ICD-10 diagnosis coding. As part of these audits, the Auditor/Educator identifies trends, through both data analysis and documentation reviews, that may pose risks to individual providers, as well as to Novant Health and its affiliates. The Auditor/Educator is responsible for creating summary documents detailing these risks and highlighting areas for overall documentation improvement. Additionally, the Auditor/Educator is responsible for educating providers and other involved team members on results of the audits, either through individual or group training sessions. The Auditor/Educator is expected to maintain or exceed established quality and productivity standards set by Compliance leadership. This requires the ability to work independently, with minimum supervision. The Auditor/Educator is also responsible for maintaining internal documents to support the Compliance audit function. These internal documents are used for tracking, trending, and reporting, and require timely data entries. The Auditor/Educator may also be asked to complete additional tasks as assigned by Compliance leadership.
It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time. - Our team members are part of an environment that fosters team work, team member engagement and community involvement. - The successful team member has a commitment to leveraging diversity and inclusion in support of quality care. - All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of “First Do No Harm”.
Qualifications:
Essential: High School Diploma
Education: High School or GED required. 4 year/Bachelors degree preferred. Graduate degree preferred.
Experience: 10+ years of experience is required if no 4 year degree. If candidate has 4 year degree, 1 year of health care experience is preferred. If candidate has a 4 year degree, 1 year of healthcare coding experience is preferred.
Refer to the Life Support Training Policy NH-HR-3096.

Please refer the Job description for details