Medical Staff Auditor
Company: Vanderbilt University Medical Center
Location: Salt Lake City
Posted on: January 27, 2023
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Job Description:
Medical Staff Auditor - 2213999 **Job** : Medical Coding and
Billing **Primary Location** : Work from Home **Organization** :
Provider Credentialing 30 200607 **Shift:** : First Shift
**Description** **Medical Staff Auditor - 100% REMOTE** **JOB
SUMMARY:** Ensures credentialing and privileging activities comply
with requirements of regulatory and accrediting agencies including
the Centers for Medicare/Medicaid Services, the Joint Commission,
and the National Committee for Quality Assurance, federal and state
laws and delegated credentialing agreements independently. Executes
the Medical Staff Office Quality Assurance Program. **KEY
RESPONSIBILITIES:** + Audits credentials files and verifies
information entered in information systems. + Maintains and
analyzes quality data, identifies trends, and recommends corrective
actions. + Coordinates external audit engagements and responding to
complex inquiries. + Prepares and submits material for external
audits and Corrective Action Plans. + Serves as primary contact for
VHAN. + The responsibilities listed are a general overview of the
position and additional duties may be assigned. **TECHNICAL
CAPABILITIES:** _DISCRETION & PRIVACY (ADVANCED):_ - The ability to
use and keep information confidential in a secure setting. _DATA
ENTRY (ADVANCED):_ - The ability to transcribe information from the
original source into an electronic system according to written and
verbal instructions efficiently and accurately. _ANALYTICAL SKILLS
(ADVANCED):_ - The process of identifying, evaluating, interpreting
and organizing data. It includes sorting through data to identify
patterns and establish relationships for decision making. _CVO
POLICIES AND PROCEDURES (INTERMEDIATE):_ - Knowledge, adherence and
application of CVO policies and procedures. _PROCESS DEVELOPMENT
(ADVANCED):_ - Identifies, analyzes and improves upon existing
business processes for optimization and to meet standards of
quality. **CORE ACCOUNTABILITIES:** + Organizational Impact:
Independently performs non-routine tasks that significantly impact
team and other related teams. + Problem Solving/ Complexity of
work: Gathers and analyzes data to solve problems that arise with
little or no precedent. + Breadth of Knowledge: Applies advanced
job knowledge and has developed a breadth of skills in other areas.
+ Team Interaction: Serves as a lead for the team by providing
expertise and guidance to team members. **CORE CAPABILITIES:**
SUPPORTING COLLEAGUES (S4): + - Develops Self and Others: Invests
time, energy and enthusiasm in developing self/others to help
improve performance and gain knowledge in new areas. + - Builds and
Maintains Relationships: Maintains regular contact with key
colleagues and stakeholders using formal and informal opportunities
to expand and strengthen relationships. + - Communicates
Effectively: Recognizes group interactions and modifies one's own
communication style to suit different situations and audiences.
DELIVERING EXCELLENT SERVICES (S4): + - Serves Others with
Compassion: Seeks to understand current and future needs of
relevant stakeholders and customizes services to better address
them. + - Solves Complex Problems Approaches problems from
different angles; Identifies new possibilities to interpret
opportunities and develop concrete solutions. + - Offers Meaningful
Advice and Support: Provides ongoing support and coaching in a
constructive manner to increase employees' effectiveness. ENSURING
HIGH QUALITY (S4): + - Performs Excellent Work: Engages regularly
in formal and informal dialogue about quality; directly addresses
quality issues promptly. + - Ensures Continuous Improvement:
Applies various learning experiences by looking beyond symptoms to
uncover underlying causes of problems and identifies ways to
resolve them. + - Fulfills Safety and Regulatory Requirements:
Understands all aspects of providing a safe environment and
performs routine safety checks to prevent safety hazards from
occurring. MANAGING RESOURCES EFFECTIVELY (S4): + - Demonstrates
Accountability: Demonstrates a sense of ownership, focusing on and
driving critical issues to closure. + - Stewards Organizational
Resources: Applies understanding of the departmental work to
effectively manage resources for a department/area. + - Makes Data
Driven Decisions: Demonstrates strong understanding of the
information or data to identify and elevate opportunities.
FOSTERING INNOVATION (S4): + - Generates New Ideas: Proactively
identifies new ideas/opportunities from multiple sources or methods
to improve processes beyond conventional approaches. + - Applies
Technology: Demonstrates an enthusiasm for learning new
technologies, tools, and procedures to address short-term
challenges + - Adapts to Change: Views difficult situations and/or
problems as opportunities for improvement; actively embraces change
instead of emphasizing negative elements. **Basic Qualifications**
High School Diploma or GED (or equivalent experience) and 5 years
relevant experience **Licensure, Certification, and/or Registration
(LCR):** **Physical Requirements/Strengths needed & Physical
Demands:** + Sedentary category requiring exertion up to 10 lbs. of
force occasionally and uses negligible amounts of force to move
objects. Sedentary work involves sitting most of the time.
**Movement** + Occasional: Standing: Remaining on one's feet
without moving. + Occasional: Walking: Moving about on foot. +
Occasional: Lifting under 35 lbs: Raising and lowering objects
under 35 lbs from one level to another + Occasional: Carrying under
35 lbs: Transporting an object holding in hands, arms or shoulders,
with help of coworkers or assistive device. + Occasional:
Push/Pull: Exerting force to move objects away from or toward. +
Occasional: Reaching above shoulders: Extending arms in any
direction above shoulders. + Frequent: Sitting: Remaining in seated
position + Frequent: Reaching below shoulders: Extending arms in
any direction below shoulders. + Frequent: Fingering: Picking,
pinching, gripping, working primarily with fingers requiring fine
manipulation. + Frequent: Bimanual Dexterity: Requiring the use of
both hands. **Sensory** + Continuous: Communication: Expressing or
exchanging written/verbal/electronic information. + Continuous:
Auditory: Perceiving the variances of sounds, tones and pitches and
able to focus on single source of auditory information +
Continuous: Vision: Clarity of near vision at 20 inches or less and
far vision at 20 feet or more with depth perception, peripheral
vision, color vision. + Continuous: Smell: Ability to detect and
identify odors. **Environmental Conditions** + Occasional:
Chemicals and Gasses: Medications, cleaning chemicals, oxygen,
other medical gases used in work area. **Req ID:** 2213999
Vanderbilt University Medical Center is committed to principles of
equal opportunity and affirmative action.
Keywords: Vanderbilt University Medical Center, Salt Lake City , Medical Staff Auditor, Other , Salt Lake City, Utah
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