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Healthcare Audit Coordinator

Company: Cape Cod Healthcare Inc.
Location: Plymouth
Posted on: May 27, 2019

Job Description:

* Manage data for all government and third party payer audits including, but not limited to, gathering, compiling, organizing and documenting relevant audit information.* Coordinate and input correspondence and other documents into finance and audit information systems.* Assist in assignment of appeal workflows to appropriate representatives, clinical and technical staff.* Ensure compliance with all corporate standards and audit regulations as well as all government and commercial insurance requirements.* Present audit findings and other relevant information to revenue integrity management.* Prepare for and participate in audits as directed.* Consolidate and prepare reporting of audit data.* Participate in communication and education activities regarding regulations or compliance issues from CMS, Office of Inspector General, commercial payers, appellants and their authorized representatives.* Participate in internal meetings regarding new and current reporting requirements and changes in state or federal regulations. Update reporting schedule as necessary to reflect these updates and changes.* Utilize with increasing proficiency, proprietary reports, tools and systems required to perform duties.* Participate in PI activities to identify and recommend processes to achieve efficiency, cost reduction, productivity and quality gains.* Other duties as assigned.Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital's commitment to CARES: compassion, accountability, respect, excellence and service.* Associate's or Bachelor's degree in Business or related field, or a combination of education and work experience;* One (1) to three (3) years of healthcare experience.* Excellent verbal and written communication skills are required.* Excellent interpersonal, problem solving and critical thinking skills are required.* Excellent PC skills with a strong emphasis on the Microsoft office suite of products.* Strong organizational skills with attention to detail.* Experience with HIPAA regulations and confidentiality of patient information.* Ability to multi-task.* Experience with hospital information systems preferred.

Keywords: Cape Cod Healthcare Inc., Methuen , Healthcare Audit Coordinator, Other , Plymouth, Massachusetts

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