• R-0000052551

• Charleston, South Carolina

• Administrative, Operations, Program, & Project Management

• Business Operations

• Full Time

• Hospital Authority (MUHA)

The External Audit Coordinator reports to the Regulatory Audit Manager. Under this supervision, the coordinator maintains a comprehensive external audit program including but not limited to MDaudit, External Audit workflow, pro-active record review, appeals, education and reporting. More specifically, the coordinator maintains, responds, and reports external audit program correspondence, activity, and results. The coordinator creates and disseminates reports and benchmarking, as well as educates stakeholders to correct deficiencies or opportunities for improvement.

Using knowledge of medical terminology, including common diseases, conditions and treatments, and care standards, plus Epic electronic medical record and audit contractor audit systems, the coordinator organizes and submits requisite medical record documentation in a manner that conveys medical necessity and coding requirements have been met.

This position is responsible for tracking the timely review and completion of each audit and remediates the audit dispositions including audit contractor questions and requests. Also, the Coordinator collaborates regularly with key stakeholders to improve documentation, implement internal controls, mitigate risk, and improve operations.

This position ensures the creation of and adherence to applicable policies and procedures relating to external audit contractors, as well as provides applicable education and training. The coordinator stays abreast of proposed and approved external audit contractor issues as well as associated regulations, interpretive guidelines, and local and national coverage determinations to assist stakeholders and safeguard the compliance program.

Ability to perform job functions while standing. (Frequent)

Ability to perform job functions while sitting. (Frequent)

Ability to perform job functions while walking. (Frequent)

Ability to climb stairs. (Infrequent)

Ability to work indoors. (Continuous)

Ability to work from elevated areas. (Frequent)

Ability to work in confined/cramped spaces. (Infrequent)

Ability to perform job functions from kneeling positions. (Infrequent)

Ability to bend at the waist. (Frequent)

Ability to squat and perform job functions. (Infrequent)

Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent)

Ability to reach in all directions. (Frequent)

Possess good finger dexterity. (Continuous)

Ability to fully use both legs. (Continuous)

Ability to fully use both hands/arms. (Continuous)

Ability to lift and carry 15 lbs. unassisted. (Infrequent)

Ability to lift/lower objects 15 lbs. from/to floor from/to 36 inches unassisted. (Infrequent)

Ability to lift from 36 inches to overhead 15 lbs. (Infrequent)

Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous)

Ability to see and recognize objects close at hand or at a distance. (Continuous)

Ability to match or discriminate between colors. (Continuous) *(Selected Positions)

Ability to determine distance/relationship between objects; depth perception. (Continuous)

Ability to maintain hearing acuity, with correction. (Continuous)

Ability to perform gross motor functions with frequent fine motor movements. (Continuous)

Ability to work in a latex safe environment. (Continuous)

*Ability to maintain tactile sensory functions. (Frequent) *(Selected Positions)

*Ability to maintain good olfactory sensory function. (Frequent) *(Selected Positions

*Ability to be qualified physically for respirator use, initially and as required. (Continuous)

(Selected Positions)*