Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
Company Overview:
Savista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency.
Job Purpose:
The Audit Project Lead oversees a designated client’s audit, which is ongoing in nature and spans several hospital and/or clinic sites. This colleague coordinates project managing a designated client’s audit with a designated colleague(s) from the Audit Department’s management team. The role combines project management and auditing responsibilities to ensure that the client’s audits are delivered on time and in a financially efficient manner for Savista.
Essential Duties & Responsibilities:
- Manage a designated client’s audit, allocating Sr. Auditing Consultants, creating a detailed audit project plan with a schedule of all audits and exit meetings, initiating contingency plans when project deadlines are at risk, and communicating the initial plan and ongoing updates with the client on a routine basis.
- Coordinate and inform all client audit project management elements with both Client and Savista’s Senior Manager, Audit, or other designee when the Senior Manager, Audit is unavailable.
- Collaborate with Client to establish a coding audit project plan, establishing expectations and confirming deliverables.
- Establishes client system access for applicable Audit team members.
- Train and then direct, in an ongoing and as necessary manner, Audit team members on how to use and apply all project-related tools.
- Instruct Audit team members on Client’s policies, procedures, and coding practices and guidelines.
- Provide Audit team members with specific project instructions on how to conduct the audit, including desired output from their auditing for successful final reports and exit meetings.
- Serve as a daily operations point of contact for Client.
- Review, explain, and discuss final audit report(s) with Client.
- Provide subject matter expertise as necessary, such as support and mentoring to the project’s Sr. Auditor Consultants or providing coding convention guidance to Client.
- Deferring to the Audit Department’s management team management when support and guidance are either needed or necessary.
- Proofs and edits both preliminary and final audit reports, ensuring the reports are client-facing quality. Provides feedback to Sr Auditor Consultants on how to improve documenting their findings for continuous process improvement purposes.
- Sustains one voice editing in Client’s reports for consistency in the audit approach and recommendations throughout the life of the audit project.
- Performs inpatient, behavioral health, ambulatory surgery, emergency room, other hospital outpatient visits, and/or evaluation/management coding audits for technical and/or professional reporting.
- Maintains a current, working knowledge of ICD-10 and CPT coding principles, government regulation, and healthcare reimbursement systems (MS-DRG, APR-DRG, IPPPS, APC, RBRVS).
- Performs audit-related education based on audit results.
- Identifies Client audit result patterns, trends, and key problematic areas and communicates these findings to Client as quality improvement opportunities.
- Performs all essential duties and responsibilities successfully from a remote office, effectively using coding reference materials and Microsoft Windows applications.
- Conducts Savista's business with a client- and colleague-centric focus, exhibiting a high-quality professionalism, flexibility, dependability, and growth mindset with a commitment to excellence and to the Health Information Management profession.
- Participates in internally facing meetings and training courses, as requested.
- Perform other related duties, as required.
Required Qualifications:
- An active AHIMA or AAPC credential to include a CIRCC Certification is required
- Three years’ experience in Outpatient Interventional Radiology is required
- Research and citation proficiency with coding and regulatory guidelines
- Exposure to project management concepts
- Computer skills, including MS Office (Outlook, Word, Excel, Power Point), proficiency
Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $76,000.00 to 84,000.00. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills
SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.
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