Lead Compliance & Quality Audit

Job description

Summary/Objective Under limited supervision, Omega’s Lead Compliance and Quality Audit Manager performs audits of inpatient and outpatient medical records for coding accuracy and medical record documentation as it impacts the accuracy of ICD-10-CM, ICD-10-PCS codes driving the MS-DRG assignment and ICD - 10 CM and CPT-4/HCPCS codes driving the APC assignment. Lead Compliance and Quality Audit Manager must be able to identify Physician query opportunities, assess the accuracy of POA, discharge disposition and modifier assignments. Lead Compliance and Quality Audit Manager performs data collection for quality and statistical purposes and reports the finding the Client. The Lead Compliance and Quality Audit Manager is the first line of support for the HIM QA Managers, assists in coaching and developing staff members as necessary and completes special projects as assigned. Essential Job Functions: Review inpatient and outpatient medical records for accuracy of coding and data quality. Elements to be included in reviews can include: Inpatient/Observation Cases All diagnosis and procedure assigned ICD-10-CM and ICD- 10 PCS codes Discharge disposition assigned: Assigned Present on Admissi...