Job Description

Medical Auditor

Granger Medical Clinic has an immediate opening for a Full Time Medical Auditor/Educator at our Taylorsville headquarters location. We are seeking candidates with relevant professional experience who can contribute quickly and effectively in this role.

To perform this role successfully, an individual must be able to satisfactorily carry out each essential duty. The qualifications listed below represent the knowledge, skills, and abilities required for the position.

Essential Functions and Duties:

• Supports and implements the organization's vision, mission, and values.
• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies as necessary or required.
• Effectively communicates with providers/Coders to clarify diagnoses, procedure coding and documentation requirements, including proper sequencing.
• Monitors all coding accuracy at various levels of detail and maintains coding quality as needed.
• Tracks coding issues and reviews coding inaccuracies to highlight areas of improvement. Reports or resolves escalated issues as necessary.
• Performs a comprehensive medical records review to assure the presence of all component parts including patient and record identification signatures, dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
• Provides a high level of technical education and serves as a subject matter specialist regarding coding and documentation.
• Supports and educates team members about coding best practices and procedures to meet compliance and regulatory requirements.
• Other duties as assigned.

Other Skills and Abilities:

• Must be comfortable educating providers.
• Organizes and prioritizes work with minimum supervision.
• Performs most essential job duties independently and exercises good judgment.
• Must be flexible and detail oriented.
• Demonstrates initiative and creativity in assigned work while constantly attempting to improve workflows.
• Adheres to company's policies and procedures.
• Demonstrates required knowledge, skills, education for job functions.
• Demonstrates knowledge of current compliance standards for federal, state, and local regulatory agencies.
• Maintains and promotes a safe work environment.
• Demonstrates excellent communication skills, both oral and written.
• Demonstrates proficiency in computer applications such as Microsoft Excel, Power Point, Word, and Outlook.
• Displays positive outlook on the job and promotes professional behavior always.
• Manages time efficiently and follow through on duties to completion.

Language Skills:

Ability to read and interpret documents

• Policies and procedures.
• Benefits information.
• Benefit surveys.
• Meeting minutes.
• Routine mail.
• Procedure manuals.
• Ability to compose routine reports.
• Demonstrate effective articulation with employees/management.

Reasoning Ability:

• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to deal with problems involving several concrete variables in standardized situations.
• Ability to apply common sense to daily situations that arise.
• Ability to make decisions and execute timely to produce positive outcome

Education and Experience:

• High School Graduate or equivalent.
• Must have the ability to self-educate as needed.
• Demonstrated / proven customer service, problem solving, communication, multi-tasking, and organizational skills.
• Must be certified by AAPC or AHIMA (CPC and CPMA)
• Medical Auditing experience required (2 years)

Physical Requirements and Working Conditions:

• Sedentary work, requiring lifting to 10lbs
• Repetitive motion associated with operating a computer and other office equipment
• Inside, climate-controlled working conditions

Granger Medical Clinic offers competitive wages, potential for quarterly bonuses, and excellent benefits. Benefits include:

• Vision
• Dental
• Medical
• Sick leave
• Paid Time Off
• Life Insurance
• Paid maternity leave
• Tuition Reimbursement
• Short- and long-term disability
• Employee Assistance Program (EAP)
• Health Savings and Flexible Spending Accounts
• 401(k) with a Company Match, Profit Share, and Safe Harbor contributions

Granger Medical Clinic provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Granger Medical Clinic complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation, and training.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regards to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability status, genetic information and testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by law.