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MEDICAL AUDIT ANALYST

TARRYTOWN, NY, US


Under general direction reviews and researches patient medical records in order to assign appropriate codes from diseases and procedure coding classifications such as ICD-10CM, CPT-4, etc.  Identifies and documents sequence of events and diseases using appropriate coding classifications for the level of care received by the patient.  In coordination with physician, nursing and other clinical staff, ensures that data is complete and supports codes assigned for optimal reimbursement, compliance with Federal, State and commercial insurance requirements.  Ensures appropriate DRG and other grouping assignments.  Abstracts pertinent clinical data from the record and enters into data repository for use in billing, research, education, planning and performance improvement.  Abstracts records to meet Cancer Reporting requirements.  Prepares necessary records and reports for other mandated State and Federal reporting.

Educational, Experience and License Requirements

Satisfactory combination of education/knowledge/experience in applying coding and grouping methodologies in a complex Healthcare environment.

Two(2) - three(3) years of related experience.

Certification as RRA, RHIT, CCS and or CCS-P or CTR preferred.

 

Department: Health Information Management Bargaining Unit: Non Union Campus: TARRYTOWN  Employment Status: Regular Full-Time Address: 555 South Broadway, Tarrytown
Shift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 99852 

 

Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. 

 

N/A 


Mission:
To heal, to teach, to discover and to advance the health of the communities we serve.

Vision:
To be a premier academic medical center that transforms health and enriches lives.

Values
Define our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future. Our values include:

  • Humanity
  • Innovation
  • Teamwork
  • Diversity
  • Equity

 

 

 


Nearest Major Market: White Plains
Nearest Secondary Market: New York City

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