Job Description

Welcome to Montage Health’s application process!

  • CHOMP has been voted the Best Place to Work in Monterey County for 10 straight years
  • Excellent Pay and Generous Benefits including a Pension and Continuing Education Reimbursement
  • Excellent Team Oriented Culture
  • Free Gym for Employees

Job Description:

The Audit Coordinator assists with the overall functionality and coordination of various Government and Commercial Payer audits, ensuring that all timelines are met. She/he manages the ADR (Additional Development Request) received from Medicare for both Part A and Part B, is responsible for tracking the ADR, follows the procedures put in place for ADR, and assures all relevant documents are submitted to Medicare in a timely manner. She/he monitors the contractor's website and takes appropriate action as necessary based on the Department procedures. The position helps plan and coordinate testing of new audit-related projects and works to meet specific audit goals of Patient Business Services, manages audit-related projects, and ensures adequate process and timelines are met. The Audit Coordinator is the single point of contact for all internal and external audit related questions for the Department and will be responsible for generating all reports related to reimbursement auditing within the organization. She/he is responsible for assembling and facilitating audit response team to include creating and overseeing communication plan for audit requests and denials. Responsible for monitoring overall audit impact and maintaining data integrity. Provides leadership in implementing changes to organizational practices, policies, and procedures where needed, as well as implementing audit tool to prevent missed deadlines. Responsible for establishing positive professional relations with peers and medical staff.

Experience:

Previous experience in patient business services, health information management, compliance and/or case management. Knowledge of hospital functions, procedures, reimbursement, patient accounting, understanding of Federal and State regulations and managed care concepts, understanding of government and commercial regulations, as well as Medicare reimbursement and coding structures are required. Must possess excellent communication, teamwork, organization, and analytical skills. Must have ability to work independently; must have understanding of patient medical records; intermediate proficiency in Microsoft Word and Excel is required. Well-groomed in appearance.

Preferences:

  • Relevant course work, computer courses, and or certificate

  • Billing and/or follow-up experience

  • Excellent communication Skills

  • Excellent organizational Skills

  • Strong leadership qualities

  • Proficient with audit tool software and processes

  • Positive professional relationships with peers and hospital staff

  • Knowledge of Medicare reimbursement

  • Familiarity with regulations and their background


Education:
High School Diploma or GED is required. Relevant course work above and beyond high school is preferred.

Equal Opportunity Employer

#LI-RL1

Assigned Work Hours:

Full time, day shift 8:00 a.m. - 4:30 p.m.

Position Type:

Regular

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Apply Online