Yale University
New Haven, CT, USA
Position Focus:
Coordinate and conduct medical billing audits for the Yale Medicine Administration. Evaluate medical billing, coding and documentation for 18 clinical departments under the direction of the Compliance Officer. Provide training and feedback to physicians and departmental personnel who have responsibilities with billing activities. This opportunity is currently remote (work from home in or outside CT) for a position located in CT.
Essential Duties
1. Primary responsibility is to complete audits of departmental compliance chart reviews and to participate in audits requested by third party payors. 2. Assess provider documentation for IDC-10 and CPT-4 coding accuracy, compliance with University and government regulations. 3. Obtain and review charge documents, encounter forms, medical records and billing procedures. 4. Evaluate results, identify system control weaknesses and in conjunction with...