Patient Auditing

Role Overview: You will be responsible for conducting audits of patient medical records to verify coding accuracy and documentation compliance. Your role will involve reviewing inpatient and outpatient records to ensure services are properly documented and billed. Additionally, you will ensure compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Identifying errors in coding, billing, and documentation and providing feedback to relevant departments will be a crucial part of your responsibilities. You will also prepare detailed audit reports, including findings, trends, and recommendations for corrective action. Collaboration with coding, billing, clinical, and compliance teams to address audit findings and monitoring the implementation of corrective actions will be essential. Moreover, supporting training initiatives by identifying education opportunities for clinical and billing staff will be a part of your role. Key Responsibilities: - Conduct audits of patient medical records to verify coding accuracy and documentation compliance. - Review inpatient and outpatient records to ensure services are properly documented and billed. - Ensure compliance with healthcare regulations (e.g., HIPAA, Medicare/Medicaid, CMS guidelines). - Identify errors in coding, billing, and documentation; provide feedback to relevant departments. - Prepare detailed audit reports, including findings, trends, and recommendations for corrective action. - Collaborate with coding, billing, clinical, and compliance teams to address audit findings. - Monitor implementation of corrective actions and conduct follow-up audits as needed. - Support training initiatives by identifying education opportunities for clinical and billing staff. Qualification Required: - Any Life Science Graduate Please note that the company provides Provident Fund as a benefit. The work location for this position is in person.,