Job Description
The Billing Compliance Auditor II is responsible for:
- Following established protocols, selecting and reviewing a percentage of records to assess coding documentation, billing, and/or reimbursement practices for compliance with all regulations of federal and state agencies and third-party payors and hospital policy.
- Maintaining review data and providing feedback to relevant areas in collaboration with appropriate personnel. Assigning performance scores and risk rating based on audit results.
- Investigating, evaluating, and identifying opportunities for improvement in conjunction with appropriate personnel, and recognizing their relative significance in the overall system. Providing guidance to departments regarding internal controls. Developing and drafting billing and coding policies for the CHB Foundations in coordination with the Hospital.
- Developing and maintaining professional skills and knowledge through attendance at relevant conferences, seminars, and other educational programs. Participating in professional organizations and reviewing current literature.
- Contributing to the teamwork within and between departments and organizations that support hospital operations.
- Providing positive and effective customer service that supports departmental and hospital operations.
Schedule: M-F, 8a-4:30p, hybrid
To qualify, you must have: - High School Diploma/GED. Bachelor’s degree preferred.
- Professional Billing Coding certification (CPC, CCS-P)
- Two years CPT and ICD10 coding experience; including some experience reviewing physician documentation and assisting physicians to meet CPT and ICD10 coding requirements.
- The level of knowledge typically acquired through completion of a Bachelor’s degree in Health Information Management or Nursing and one to three years experience reviewing physician documentation and assisting physicians to meet government and other third party payer and CPT and ICD9 coding requirements.
- Knowledge of healthcare compliance regulations. Some experience providing individual and/or group physician training and/or experience in one or more medical specialties is a plus.
- Analytical skills to collect information from diverse sources, apply professional principles in performing various analyses, and summarize the information and data in order to solve problems OR design relatively complex systems and programs that cross department/divisional lines.
- Communication skills in order to effectively deal with conflicting views or issues and mediate fair solutions, and well developed writing skills.
Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes.
Please note that travel is required to both our Boston and Waltham hospitals.
Schedule: Hours 8-4:30 or 8:30 – 5:00pm
Tuesday and Wednesday - Boston
Monday, Thursday and Friday - Waltham
At the end of February the schedule will change: Same hours as above Tuesday - Boston
Monday, Wednesday, Thursday and Friday – Waltham
Urology Department This Child Life Specialist will:
- Participate in therapeutic activities and programs to meet patients' psychosocial and developmental needs, and facilitate adjustment to health care experiences in the intensive care unit
- Serve as member of multidisciplinary team.
- Delegate work assignments to volunteers and participate in clinical training of student interns.
- Work 40 hours per week
To qualify, you must have:
- Bachelor's degree in Child Development, Child Life, or a closely related field with a concentration in child life.
- 600-hour Child Life internship under the supervision of a certified child life specialist.
- General skills to resolve problems requiring the use of child development theory, professional child life principles, and experienced‑based knowledge.
- Well-developed writing skills, and excellent communication skills including conflict resolution to effectively work as a team member.
- Certification in Child Life Specialist required within 1 year of hire for all new hires.
Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
Job Tags
Internship, Flexible hours, Monday to Friday,