Auditor PFS (Non-RN)

Title: Auditor PFS (Non -RN)

Location: Fountain Valley

Department: Compliance, Audit

Status: Full-time/Predominantly Remote

Shift: Days

Pay Range: $32.81/hr - $47.57/hr

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Position Summary

CDM Auditor will assist the Chargemaster, RCM team in maintaining and analyzing the Charge Master (CDM) for charge component and revenue cycle integrity; monitoring compliance with Federal and State guidelines, performing periodic audits and provide education of Charge Description Master.

Essential Functions and Responsibilities of the Job

• Assist with the maintenance of CDM due to regulatory requirements as well as requests for services including but not limited to charge description, revenue Code, CPT, modifiers and cost center for updates to the A/R system.
• Works collaboratively with IS to support applications and their subsystems for order entry and subsequent charges for specific discipline; i.e. laboratory, imaging, cardiology.
• Serves as a resource for staff throughout the health system involved in the revenue generation and charge master related issues and provides education on use of the Charge Master on the charging regulations.
• Develop and implements strategic goals of standardization and consolidation of charge/revenue systems and structures.
• Be at work and be on time. Prepared for meetings, works on assignments, and provides feedback on projects. Reliable internet access and maintains connectivity. Communicates timely by phone, email, and/or other departmental resources.
• Follow company policies, procedures and directives.
• Interact in a positive and constructive manner.
• Prioritize and multitask.

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Qualifications:

Experience

• Two years’ experience in Chargemaster, Revenue Integrity, Auditing, Utilization Management, Coding, or Hospital Billing. Charge Master maintenance in a multi-hospital system preferred. 
• Working knowledge of CPT, HCPCS Level II, Local Level III, and ICD10 coding and associated clinical expertise.
• Demonstrate a high level of critical thinking skills.
• Utilizes Excel for reports and data analyses.
• Strong verbal and written skills.
• Epic Resolute.

Education

• RN/LPN license or healthcare related degree required.
• CPC, CCS, or relevant coding or auditing certification preferred.
• Competent with MS Office with strong emphasis/skilled on Excel.

Salary : $33 - $48