Internal Audit Coordinator

Medical University of South Carolina•Charleston, SC

About The Position

Under this supervision, the Coordinator assists with maintaining a comprehensive recovery audit program including but not limited to MDaudit, External Audit workflow, pro-active record review, appeals, education and reporting. More specifically, the Coordinator will maintain, respond, and report recovery audit program correspondence, activity, and results. The Coordinator will create and disseminate reports and benchmarking, as well as educate stakeholders to correct deficiencies or opportunities for improvement. The Internal Audit Coordinator conducts, and provides oversight to, the audits performed and monitored by the Compliance Department. This position reports to the Compliance Director of Billing Integrity and Audit Services and guides the work performed by the Compliance Auditors. The Coordinator assists with preparing and executing the annual risk assessment and the associated audit workplan, as well as ensures timely and accurate completion. The Coordinator also provides education and training to the Compliance Auditors as needed, as well as to various stakeholders across the organization as needed or requested. More specifically, the Coordinator (1) conducts research for and insight to the annual risk assessment, (2) remediates specific coding and documentation questions and concerns; (3) develops and/or administers on-going coding and documentation education; (4) conducts and/or oversees a variety of auditing and monitoring of activities, 5) researches and responds to coding and documentation related questions; (6) stays abreast of and communicates changes to coding and documentation regulations; (7) provides relevant outcomes to and collaborates with the Regulatory Audit Manager to assist with External Audits; (8) participates in audit planning, reporting, and communication of results to applicable leaders and stakeholders; and (9) maintains the compliance database for all audit-specific activities conducted.

Requirements

Applicant must be credentialed as a coder or similar professional body (RN, RHIA, CPC, etc) that lends to compliance auditing.

Nice To Haves

A bachelor’s degree plus 3 years auditing/coding/billing experience, or an associate degree plus 5 years of auditing/coding/billing experience, or a high school diploma or equivalent plus 10 years of auditing/coding/billing experience preferred.

Responsibilities

Maintains a comprehensive recovery audit program
Maintains, responds, and reports recovery audit program correspondence, activity, and results
Creates and disseminates reports and benchmarking
Educates stakeholders to correct deficiencies or opportunities for improvement
Conducts research for and insight to the annual risk assessment
Remediates specific coding and documentation questions and concerns
Develops and/or administers on-going coding and documentation education
Conducts and/or oversees a variety of auditing and monitoring of activities
Researches and responds to coding and documentation related questions
Stays abreast of and communicates changes to coding and documentation regulations
Provides relevant outcomes to and collaborates with the Regulatory Audit Manager to assist with External Audits
Participates in audit planning, reporting, and communication of results to applicable leaders and stakeholders
Maintains the compliance database for all audit-specific activities conducted
Provides input to and participates in the annual risk
Creates an audit schedule that considers external audit activity in order to prioritize risk mitigation
Conducts audits, as well as schedules and monitors the compliance audit workplan
Coordinates audit planning and pre and post audit conferences with stakeholders
Monitors outcomes to ensure audit reports are accurate and include corrective action plans
Monitors the quality of the audits performed by auditors
Assists with remediation coding/billing/documentation specific allegations and concerns brought forth from inside and outside the department