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Auditor PFS (Non-RN) jobs in United States
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MemorialCare · 1 day ago

Auditor PFS (Non-RN)

MemorialCare is a nonprofit integrated health system that includes four leading hospitals and over 2,000 physicians throughout Orange and Los Angeles Counties. The Auditor PFS (Non-RN) will support the Audit Department by analyzing patient charges and charge systems, helping to improve related processes and providing timely results. The role requires critical thinking skills and the ability to interact with various departments to ensure accurate billing and compliance.
ChildrenHealth CareHospitalMedicalNon Profit

Responsibilities

Uses critical thinking skills to analyze all patient charges and charging systems throughout the hospital for efficiency and accurate performance
Assists in creating and implementing audit reports, and processes, methods and procedures to improve function, analysis and monitoring of charges
Supports all charging departments by providing charging evaluations on an ongoing basis, including analysis of audits
Provides accurate charge and charging information for defense and concurrent audit and bill review
Researches material and other charging resources independently and productively, i.e., government or community standard charging requirements
Helps in developing and performing daily operations, assisting patient accounts, coding, commercial, state and federal billing departments, and assist with patient inquiries
Develops and maintains expertise and competence related to audit processes, tools, techniques, environment language, procedures, and IS standards associated with all aspects of charging and patient billing
Actively participates in interdepartmental meetings and discusses issues related to charging and charge systems
Assists in Chargemaster development/maintenance
Recognizes and performs essential duties and offers assistance to others or performs other required tasks when own assignments are completed
Actively participates in enhancements throughout the department and continually seeks opportunities to improve current policies, procedures, practices, and workflows
Adheres to all patient confidentiality policies and carries out all tasks in a pleasant and respectful manner
Ability to function at all Memorial campuses, with facility specific knowledge
Be at work and be on time
Follow company policies, procedures, and directives
Interact in a positive and constructive manner
Prioritize and multitask

Qualification

Patient billing applicationsAuditing experienceCoding certificateExcel proficiencyRegulationsMultitaskingCritical thinkingInterdepartmental collaboration

Required

Proficiency in word, Excel, and paperless network systems – experience preferred
Understanding of key patient billing applications and related information technologies
Prior experience with/or exposure to departments such as: patient accounts, auditing, and coding
Knowledge of standard billing in the community as well as State and Federal charging regulations
High School diploma
Two years college and/or audit-related experience

Preferred

Coding certificate preferred

Benefits

High quality health insurance plan options
Shift differentials
Extra shift incentives
Bonus opportunities

Company

MemorialCare

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MemorialCare is a healthcare firm that provides joint replacement, blood donation, sports medicine, primary, and surgical care services.

Funding

Current Stage
Late Stage

Leadership Team

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Barry Arbuckle
President & Chief Executive Officer
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Marcia Manker
CEO, MemorialCare Orange Coast and Saddleback Medical Centers
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Company data provided by crunchbase