What are the responsibilities and job description for the HIM Appeals Auditor - ON SITE position at Regional West?
About the Role :
As a HIM Appeals Auditor, you will be responsible for managing and coordinating all aspects of Recovery Audit Contractor (RAC) audits and Demonstration High-Risk Diagnosis Related Group (DRG) reviews. This crucial roles involves handing incoming audit request, ensuring the timely release of medical records, tracking audit information and providing necessary education to healthcare providers to improve audit outcome. The Appeals Auditor will collaborate closely with the Sr. Director of Revenue Cycle, Case Management, CDI, and billing office staff. Reporting on a regular schedule to the executive team on all audit progress and findings.
Minimum Qualifications :
- Familiarity with electronic health record (EHR) systems
- 2 years of experience in healthcare auditing, compliance, or related roles
- Excellent communication and interpersonal skills
- Ability to work independently and as part of a team
Preferred Qualifications :
Responsibilities :
