About Us
McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.
Manager Audit
Position Summary:
Responsible leading Audit and Account Resolution Departments. Functional assignments include management of facility and professional auditing services, managing internal and external auditing, customer service, and coding information. Occasionally travels to provide on-site coding education to the providers and clinical staff and assistance with special projects as needed. Supports Regional Director with Coding, Auditing, Accounts Resolution and Revenue Cycle in meeting strategic objectives throughout the McLaren System.
Essential Functions and Responsibilities:
- Provides leadership throughout the system in regard to facility and professional auditing, managing internal and external auditing and account resolution inquiries.
- Responsible for managing the daily operations of the audit department and guiding the efficient and effective process for coding, abstracting, and data reporting of inpatient, outpatient, professional encounters.
- Provides leadership for audit and coding staff with training, coding compliance reviews, regulatory guidance, work distribution, and monitoring of accounts receivable issues related to coding.
- Ensures coding process and guidelines meet state, federal, hospital, and other external agencies requirements and standards.
- Develops and implements plans to ensure the achievement of established objectives.
- Conducts performance appraisal reviews and routine assessment of staff competency providing timely and appropriate feedback.
- Works with the medical staff to improve clinical documentation to facilitate accurate coding.
- Enforces the use of physician query when appropriate.
Qualifications:
Required:
· Associate degree in HIT, accounting, business management or closely related field.
· RHIT or RHIA certified
· Three year’s coding experience in settings such as: acute care facility coding inpatient, outpatient, professional outpatient or professional inpatient
Preferred:
· Three years’ previous coding experience
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
