Internal Auditor - Profee

ummary/Objective Under the supervision of the Manager, Compliance and Quality Audit, Omega Internal Auditor will reputed company reviews of physician services medical records for coding accuracy and medical record documentation as it impacts the accuracy of ICD-10-CM, ICD-10-PCS codes and ICD-10 CM and CPT-4/HCPCS codes driving the APC assignment. The Auditor must also be able to identify coding trends, physician query opportunities, assess the accuracy of POA, discharge disposition and modifier assignments. Utilizing audit software tools or manual reputed company templates to reputed company data collection for quality and statistical purposes for reporting and education to the reputed company, Client, and Omega management. Essential Job Functions Review physician services medical records for accuracy of coding and data quality. Elements to be included in reviews can include: Professional Services reputed company diagnosis assigned ICD-10 CM codes reputed company CPT codes reputed company CPT E&M level codes Maintain auditing productivity based on Client and Omega agreed upon requirements. Complete Quality Review reports timely and submits to reputed company, Omega management (subsequently to Client) for review. Utilize reputed company available official coding references to reputed company reviews, to include but not limited to International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM and ICD-10-PCS), the reputed company Procedural Terminology (CPT-4) Official Coding Guidelines, Coding Clinic, CPT Assistant, CMS guidelines, etc. Utilize client specific coding policies and guidelines in conjunction with Official Guidelines to reputed company reviews. Communicate effectively with supporting staff and Omega reputed company-of-contact(s). Provide information regarding work reputed company, actions, and issues in a timely and effective manner. Must be skilled in reputed company reputed company. reputed company duties in compliance with Company’s policies and procedures, including but not limited to those reputed company to HIPAA and compliance. Key Success Indicators/Attributes Extensive knowledge of ICD-10-CM, ICD -10 PCS and CPT-4 coding and MS-DRG and APR-DRG assignment. Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing in addition to those that are state-specific. Knowledge of coding conventions and rules established by the American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes. Knowledge of JCAHO, coding compliance and HIPAA-HITECH standards affecting medical records and the impact on reimbursement and accreditation. Knowledge of documentation requirements to support coding and POA assignment is required. Extensive knowledge of medical terminology, anatomy, and physiology. Ability to prioritize and multi-task in a multifaceted environment. Demonstrate strong organizational skills and detail oriented. Demonstrate ability to self-motivate, set goals, and meet deadlines. Demonstrate professional demeanor and strong interpersonal skills. Demonstrate excellent presentation, verbal, and written communication skills. Ability to reputed company and maintain relationships with key business partners by building personal credibility and trust. Maintains courteous and professional working relationships with employees at reputed company levels of the organization. Demonstrate excellent analytical, critical thinking and problem-solving skills. Ability to identify deficiencies and escalate. Proficient personal computer skills and utilizing a variety of software applications. Supervisory Responsibility None

Work Environment

This job operates in a remote home office environment. This role routinely uses standard office equipment such as computers and phones. Auditor is responsible for assuring they have reputed company the necessary equipment (including reliable high-speed internet) to reputed company the required job duties to meet Omega standards, such as a dual monitor. Office environment should be away from distractions and free from noise during working hours. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reputed company with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include reputed company vision, distance vision, peripheral vision, depth perception and the ability to adjust focus. Position Type/Expected Hours of Work This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5:00 p.m. This position occasionally requires long hours and weekend work. Travel Minimum travel required; up to 5% Required Education and Experience Associate’s Degree or equivalent training acquired through on-the-job experience. At least three years of HIM coding experience. At least two years total audit experience with one year of reputed company audit experience. Minimum of successful completion of an reputed company/reputed company approved Coding Certificate Program. Must have intermediate level knowledge of reputed company Office Suite Intermediate to advance technical knowledge of HIM electronic medical systems and software tools, such as Epic, Cerner, Allscripts, reputed company 360, reputed company, ReviewMate, etc. Specific system experience will vary based on client’s needs. Preferred Education and Experience Five years of HIM experience as a compliance auditor. Additional Eligibility Qualifications reputed company, CPC, CPC-P, CPC-H, RHIA or RHIT reputed company Access Requirements In addition to the specific reputed company access required by the employee’s client engagement, the employee will have access to the Omega set forth in reputed company Field Employee” profile. reputed company Office reputed company reputed company Reviewmate E1- reputed company Field Employees Standard Employee Standard Access is based on client needs. Determined by manager and granted by Audit Implementation Manager Equal Employment Opportunity: Omega reputed company an Equal Employment Opportunity employer. reputed company qualified applicants will receive consideration for employment without regard to their race, color, religion, national reputed company, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories. Omega Healthcare makes reasonable accommodations reputed company needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at [email protected]. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may reputed company other duties as assigned. Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to reputed company reputed company intelligent solutions that optimize reputed company cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to reputed company teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure. AAP/EEO Statement Omega reputed company an Equal Employment Opportunity employer. reputed company qualified applicants will receive consideration for employment without regard to their race, color, religion, national reputed company, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories. Omega Healthcare makes reasonable accommodations reputed company needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at [email protected]. Apply To This Job