Medical Staff Auditor - 100% REMOTE
Company: Vanderbilt University Medical Center
Posted on: November 26, 2022
Medical Staff Auditor - 100% REMOTE - 2213999
**Job** : Medical Coding and Billing
**Primary Location** : Work from Home
**Organization** : Provider Credentialing 30 200607
**Shift:** : First Shift
**Medical Staff Auditor - 100% REMOTE**
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.
+ Audits credentials files and verifies information entered in
+ Maintains and analyzes quality data, identifies trends, and
recommends corrective actions.
+ Coordinates external audit engagements and responding to complex
+ Prepares and submits material for external audits and Corrective
+ Serves as primary contact for VHAN.
+ The responsibilities listed are a general overview of the
position and additional duties may be assigned.
_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
_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.
+ 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.
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
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'
ENSURING HIGH QUALITY (S4):
+ - Performs Excellent Work: Engages regularly in formal and
informal dialogue about quality; directly addresses quality issues
+ - 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
+ - Makes Data Driven Decisions: Demonstrates strong understanding
of the information or data to identify and elevate
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
+ - Adapts to Change: Views difficult situations and/or problems as
opportunities for improvement; actively embraces change instead of
emphasizing negative elements.
High School Diploma or GED (or equivalent experience) and 5 years
**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.
+ 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
+ Occasional: Push/Pull: Exerting force to move objects away from
+ 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
+ Continuous: Communication: Expressing or exchanging
+ Continuous: Auditory: Perceiving the variances of sounds, tones
and pitches and able to focus on single source of auditory
+ 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.
+ 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, Atlanta , Medical Staff Auditor - 100% REMOTE, Accounting, Auditing , Atlanta, Georgia
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