Medical Records Auditor (Healthcare)
Join PACS: Elevate Healthcare with Us!
PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and fun, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide.
If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let's shape the future of healthcare!
General Purpose
The primary purpose of your job position is to audit multiple facility medical records and health information systems with current federal and state guidelines as well as with facility established policies and procedures.
Essential Duties
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these
are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from
the position if the work is similar, related, or is an essential function of the position.
Administrative Functions
• Receive and follow work schedule/instructions from your supervisor.
• Coordinate on developing a standardized Medical Records Guide defining which legal documents should be uploaded and maintained in the EHR (PCC)
• Provide input/recommendations on timeline for documents to be uploaded into PCC.
• Develop the baseline for the standard order of a "hard", non-EHR Chart.
• Audit facility patient records for compliance with federal and state guidelines.
*Includes audits to support key PDPM financial drivers.
*Includes audits to support Skilled Nursing Charting and Case Mix Groups
*Includes audits to support UB04 charges.
• Develop templates that facilities can utilize to self-monitor.
• Suggest processes facilities may use to improve compliance with medical records protocols.
• Develop and maintain good working rapport with all facility and therapy compliance teams. .
• Retrieve medical records and deliver as required.
• Become proficient with PCC (EMR).
• Alert facility personnel that key documents are incomplete or missing.
• Assist in developing procedures to ensure resident records are properly completed, assembled, coded, signed, indexed before chart is closed.
• Maintain spreadsheets on facility nursing audit trends for deficient areas and monitors improvement.
• Issue monthly reports covering audit results to Lead Medical Records Auditor
• Verify and support various Triple Checks monthly.
• Will consult with Regional Medical Records Consultants as appropriate.
• Provide facility assistance with Medical Diagnosis coding.
• Coordinate with EMR Team for additional audits or facility oversight.
• Protect resident health information and promptly report suspected or known violations.
• Assume the administrative authority, responsibility, and accountability of performing the assigned duties of this position.
Committee Functions
• Collect and assemble/compile records for committee review, as requested, and prepare reports for staff/other committees as directed.
Personnel Functions
• Report known or suspected incidents of fraud to Director of QA and Compliance.
• Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines.
Staff Development
• Attend and participate in mandatory facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, etc.). • Attend and participate in workshops, seminars, etc., as approved.
Safety and Sanitation
• Report all unsafe/hazardous conditions, defective equipment, etc., to your supervisor immediately. Equipment and Supply Functions
• Report equipment malfunctions or breakdowns to your supervisor as soon as possible.
• Ensure supplies have been replenished in work areas as necessary.
• Assure that work/assignment areas are clean and records, files, etc., are properly stored before leaving such areas on breaks, end of workday, etc.
Budget and Planning Functions
• Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.
Supervisory Requirements
As Medical Records Auditor, you are delegated the administrative authority, responsibility, and accountability necessary
for carrying out your assigned duties.
Qualifications
Education and/or Experience
Must possess, as a minimum, a high school diploma or GED. Must be able to type a minimum of 45 words per minute and use dictation equipment. A working knowledge of medical terminology, anatomy and physiology, legal aspects of health information, coding, indexing, etc., preferred but not required. On-the-job training provided in medical record and health information system procedures. Must be knowledgeable of medical terminology. Be knowledgeable in computers, data retrieval, input and output functions, etc.
Join Our Team and Thrive!
At PACS, we believe our employees are our greatest asset. That's why we offer an exceptional benefits package designed to enhance your well-being and support your lifestyle.
Our Comprehensive Benefits Include
- Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
- PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
- Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
- Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
- Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.
Join us at PACS and take advantage of a workplace that truly values you!
