In this role, you will maintain all organizational and professional ethical standards and ensure all internal audit activities carried out or supervised are in compliance with The IIAs International Standards for the Professional Practice of Internal Auditing (Standards).
The Behavioral Health Nurse Auditor is prepared for the role through a detailed, well-defined training process, gaining knowledge and skills in methods for review of the record and other provider documentation, application of appropriate screening guidelines, and use of the documentation format tailored to the Clients requirements.
In this role, you will be analytical, technical, and auditing skills including proficiency in U.S. Generally Accepted Accounting Principles (GAAP) and Financial Accounting Standards Board (FASB) rules and standards.
In this role, the selected candidate will be responsible for evaluating the internal controls of business processes for the companys operating locations and key processes; leading a team of auditors on assigned engagements and effectively discussing key audit issues with management.
Develop an audit summary report, to accompany audit spreadsheet which captures overall percentage of services coded correctly and supported by documentation in the medical record, services determined to be at risk due to incorrect selection of code type, over-coding, under-coding, coding not supported by documentation in the medical record, misuse or absence of modifiers, bundling and other coding violations, and specific documentation concerns such as trending, pattern or recipe coding.