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About the Role
The Anesthesia Auditor is responsible for the systematic review of anesthesia records to ensure accuracy, completeness, and compliance with regulatory and institutional standards. This role plays a key part in supporting quality assurance and regulatory compliance within the anesthesia department.
Responsibilities
- Comprehensive review of anesthesia records to ensure documentation accuracy and completeness
- Verify that all required provider signatures are present on the documentation
- Maintain adherence to internal protocols, external regulatory standards, and all applicable billing requirements
- Identify all state-specific requirements necessary for compliance and billing in each jurisdiction
- Detect gaps in documentation and follow up with providers to ensure completion and signature requirements are met
- Monitor, track, and report recurring errors or documentation trends to providers
- Collaborate with billing, compliance, and clinical departments to address documentation, regulatory, and process-related needs
- Ensure the secure and confidential handling of all medical records and patient information
- Conduct detailed Hospital, Ambulatory Surgery Center, and Outpatient Clinic audits
- Review audit findings with the appropriate representative
- Execute special audits on an ongoing basis, summarizing results for executive leadership
- Coordinate education and training efforts as needed
- Analyze billing and compliance issues through the lens of federal and state healthcare regulations, as well as payer guidelines
- Deliver targeted education on billing and compliance matters identified during reviews or upon request
Requirements
- Minimum of 5 years’ experience in medical chart review, medical auditing, or clinical documentation
- Functional knowledge of DRG and CPT coding systems
- Proficiency with Epic EMR
- Bachelor's Degree in Nursing, HIM, or related healthcare field - in lieu of degree, equivalent experience of at least 5 years in auditing and monitoring may be substituted for a degree
Skills
- Medical chart review
- Medical auditing
- Clinical documentation
- DRG coding
- CPT coding
- Epic EMR
- Anesthesia services
- Perioperative documentation
- Regulatory requirements (CMS, Joint Commission, ASA guidelines)
- Billing
- Compliance
- HIPAA
Location
- Remote
Work Type
- Full-time
Experience Level
- 5+ years
Education Level
- Bachelor's Degree in Nursing, HIM, or related healthcare field
- Equivalent experience of at least 5 years in auditing and monitoring may be substituted for a degree
Salary/Compensations
- $73,569.60 - $110,344.00
Benefits
- Medical
- Dental
- Vision
- 401(k)
- Paid Time Off
About the Company
- Shriners Children’s is an organization that respects, supports, and values each other.
- Named as the 2025 best mid-sized employer by Forbes.
- Engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact.
- Foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking.
- Compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
- With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status.
Equal Opportunity
- Shriners Children’s is an organization that respects, supports, and values each other.