Manager, ICQ Audits

Company: Accuity
Location: Cheyenne
Posted on: May 24, 2023

Job Description:

Job Type
Full-time

Description
Accuity was founded in 2016 with the goal of reinventing the Clinical Documentation Process through MD case review, and MD to MD education. Over the last six years, we have experienced rapid growth and are excited to continue in growing our team nationwide. Learn more about us at www.accuityhealthcare.com
The Manager, Internal Controls & Quality (ICQ) Audit position is responsible for providing oversight and leadership to the ICQ team on all audit related activities including serving as a subject matter expert for medical coding audits and assessments.
The Manager, ICQ Audit, will also assist with the creation and provision of the organizational Compliance Assessment and Audit Plan. The Manager, ICQ Audit will collaborate with all Departments within Accuity to ensure all the trends and audit findings are identified and formalized into remediation plans and/or education and are delivered to the appropriate audiences including the Accuity leadership team.
Primary Job Responsibilities

• Manages all internal and external ICQ audit and assessment initiatives including HITRUST, SOC, PWC assessments, Enterprise Risk Management, ICQ internal coding and consults on client audits.
• Develops, maintains and reports on the overall Compliance Assessment and Audit Plan for the organization.
• Performs the quality assurance subject matter expert functions under the direction of the Sr. Director of ICQ and in accordance with the approved QA and Assessment and Audit plans.
• Designs and implements programs, policies and practices to ensure compliance with operational controls, specific laws and related compliance functions.
• In conjunction with management, formulates and establishes company policies, operating procedures, process workflows, and goals.
• Evaluates existing policies and procedures to coordinate internal practices and to ensure operational compliance.
• Ensures compliance with external agencies including state and federal regulations for ethical coding and compliant queries.
• Implements improvement measures that will enhance overall organizational quality as well as client satisfaction.
• Identifies patterns, trends, and variations in coding and other types of data and takes appropriate steps in collaboration with appropriate departments to affect resolution or explanation of the variance.
• Ensures that information systems support current and future needs of the department by working closely with the Technology team in transition planning including but not limited to; testing, installation, to produce and maintain high quality coding, data integrity, security and privacy standards, and established HITRUST and SOC Controls.
• Monitors the initiation, revision, and implementation of external regulations, statutes, and standards; facilitates implementation of revised regulations and ensures compliance.
• Organizes and analyzes trend data to be presented as an educational opportunity and/or used to drive process and outcome improvement initiatives.
• Performs miscellaneous job-related duties as assigned.
  Requirements
  Education:
  • Bachelor's degree required
  • Graduate degree preferred
  • Clinical degree preferred
    Certifications/Credentials:
    • CCS, CDIP, or CCDS required
    • RHIA, RHIT or CCDS-O preferred
    • CPHQ, CHQ preferred
    • CPCO, CHPS, CIPP preferred
    • Six Sigma or Lean certifications preferred
      Experience:
      • Minimum of 10 years of experience in the healthcare field
      • Experience in a related role or roles in revenue cycle, health information management, coding services, and/or clinical documentation improvement preferred
      • Experience developing, monitoring and reporting on compliance assessment and audit plans
      • Demonstrated knowledge of both MS and APR-DRG models, ICD-10-CM, and ICD-10-PCS
      • Demonstrated knowledge of computer technology and preferred knowledge of MS Office including Word, Excel, and PowerPoint
        Knowledge, Skills, and Abilities:
        • Preference for action with a solution and process-oriented approach
        • Recognizing, developing, and implementing coding and clinical documentation best practices
        • Highly motivated, self-directed, and able to work independently with minimal supervision
        • Analytical ability to gather and interpret data to identify areas of opportunity, problems, or issues and apply sound judgement
        • Effective at managing team and individual performance
        • Leadership skills that demonstrate accountability, decision-making, coaching and counseling
        • Experience in conflict management and problem resolution
        • Ability to interpret coding quality audit data, track and trend the audit results, and convert into applicable education
        • Good interpersonal and customer service skills with a client focus
        • Strong written and verbal skills
        • Experience with electronic health records and health information systems
        • Ability to organize and set priorities to ensure that objectives are met in a timely manner
        • Ability to establish and maintain cooperative working relationships with staff at every level of the organization

Keywords: Accuity, Cheyenne , Manager, ICQ Audits, Accounting, Auditing , Cheyenne, Wyoming