UNIVERSITY of LOUISVILLE
Professional / Administrative Job Specification (8/98)
JOB TITLE: Auditor, Medical Compliance
CLASS CODE: 000741
Participate in the performance of medical record audits of all University School of Medicine Departments and Private Practice Entities. Collect and provide review results to the Data Analyst.
DUTIES & RESPONSIBILTIES
Conduct compliance audits for University of Louisville Medical School departments and entities to assure compliance with documentation and levels of services billed, and prepare written reports on findings. Respond to inquiries by teaching physicians, residents and staff regarding compliance issues.
Compile review results and provide results to the Data Analyst for input. Cross train on database analysis system for familiarity.
Maintain familiarity with third-party payer regulations regarding medical documentation for reimbursement of services provided by clinicians. Maintain audit files and forms.
Other duties as assigned
KNOWLEDGE, TRAINING & SKILLS
Bachelor's degree in accounting or related field.
Three years of related experience.
An equivalent combination of education, training and/or experience may be substituted for the requirements noted.
The intent of this document is to provide a representative summary of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the specific duties and responsibilities of any particular position. Employees may be requested to perform job-related tasks other than those specifically presented.