Summary: Assists thevice-president in carrying out the responsibilities of the Internal Auditfunction. Conducts auditing and monitoring on physicians' billing activities toassure accuracy and compliance within Cook Children's Health Care Systempolicies, government regulations and third-party payor contracts. Consults withphysicians, CCPN administration, and CCHCS employees on Medicare, Medicaid andother payer requirements as requested.
Registered Health Information Administrator (RHIA), RegisteredHealth Information Technician (RHIT) or Certified Coding Specialist-Physician(CCS-P) required.
An Associate's Degree is required with a Bachelor's degreebeing preferred.
This position requires a minimum of five years in an acutecare setting, physician office setting and outpatient setting.
2 years of additional experience can be used in lieu of theAssociate's degree requirement.
Expert knowledge of ICD-9-CM, CPT, HCPCS, DRG, and APCcoding systems.
Computer literacy, effective teaching skills and excellentinterpersonal, problem-solving and verbal/written communications skillsrequired.
Extensive auditing experience in health care settingrequired.
Current knowledge with reimbursement issues as it pertainsto Medicare, Medicaid, and third-party payers.
Training in anatomy and physiology, pathology and medicalterminology required.
Pediatric experience is highly desirable.
A coding proficiency test required through on-site testing.
Internal Number: 43186
About Cook Children's Health Care System
Cook Children's Health Care System is a not-for-profit, nationally recognized pediatric health care organization comprised of eight entities – a Medical Center, Physician Network, Home Health company, Northeast Hospital, Pediatric Surgery Center, Health Plan, Health Services Inc., and Health Foundation.Cook Children's Medical Center Based in Fort Worth, Texas, the integrated system has more than 60 primary and specialty care offices throughout North Texas. Its service region includes Denton, Hood, Johnson, Parker, Tarrant and Wise counties, with an additional referral area encompassing nearly half the state.Cook Children's traces its roots back to 1918, but throughout its continual change and robust growth, it still embraces an inspiring promise – to improve the health of every child in its region through the prevention and treatment of illness, disease and injury. To live up to this promise, Cook Children's combines the art of caring with the use of leading technology and extraordinary collaboration to provide exceptional care for every child, every day.History – Cook Children's has a rich history of nearly a century of caring for children.Our Promise – Knowing that every child's ...life is sacred, it is the promise of Cook Children's to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.Companies – Based in Fort Worth, Texas, Cook Children's is a not-for-profit organization that is comprised of eight nationally recognized companies.Community Health Outreach – Cook Children's Community Health Outreach works together with over 150 partner organizations to improve the safety and health of at-risk children through education, disease and injury prevention and support.Clinical Research – Cook Children's is home to a skilled team of research-minded physicians, nurses and health care professionals and administrators who drive our commitment to excellent clinical care and the search for medical advances.Public Relations – Cook Children's Public Relations works with national and local media outlets, produces Cook Children's publications, coordinates special events and helps develop key relationships within the community.Contractor & Vendor Information – Cook Children's contractors and vendors must ensure their employees are knowledgeable about working with our organization.Sponsorship guidelines – Cook Children's sponsors a select number of events that are strongly aligned with its promise to improve the health of every child in the region through the prevention and treatment of illness, disease and injury.