Company OverviewShriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our 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. Please click here to learn more about our locations.Job DescriptionThe Anesthesia Auditor is responsible for the systematic review of anesthesia records to ensure accuracy, completeness, and compliance with regulatory and institutional standards. Primary responsibilities include verifying that all required documentation, provider signatures, and charges are present and appropriately supported. This role plays a key part in supporting quality assurance and regulatory compliance within the anesthesia department. The Anesthesia Auditor will also assist with other auditor duties as assigned.Key Responsibilities:Comprehensive review of anesthesia records to ensure documentation accuracy and completenessVerify that all required provider signatures- including those of the anesthesiologist, CRNA, and supervising physician- are present on the documentationMaintain adherence to internal protocols, external regulatory standards- including CMS and the Joint Commission- and all applicable billing requirements; additionally, identify all state-specific requirements necessary for compliance and billing in each jurisdiction (e.g., anesthesia assistants, supervision mandates, provider scope of practice)Detect gaps in documentation and follow up with providers to ensure completion and signature requirements are metMonitor, track, and report recurring errors or documentation trends to providers to support process improvement initiatives and educationCollaborate with billing, compliance, and clinical departments to address documentation, regulatory, and process-related needsEnsure the secure and confidential handling of all medical records and patient information in accordance with HIPAA and organizational policiesAssist with other audit and monitoring duties as assigned to include:Conduct detailed Hospital, Ambulatory Surgery Center, and Outpatient Clinic audits to ensure all charges are captured, supported by orders, and appropriately documented; additionally, review audit findings with the appropriate representativeExecute special audits on an ongoing basis, summarizing results for executive leadership and coordinating education and training efforts as neededAnalyze billing and compliance issues through the lens of federal and state healthcare regulations, as well as payer guidelines to ensure regulatory complianceDeliver targeted education on billing and compliance matters identified during reviews or upon request from facilities, administration, and management, employing webinars, presentations, bulletins, newsletters, SHINE modules, and other appropriate toolsRequired Qualifications:Minimum of 5 years’ experience in medical chart review, medical auditing, or clinical documentationFunctional knowledge of DRG and CPT coding systemsProficiency with Epic EMRBachelor'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 degreePreferred Qualifications:Prior experience with anesthesia services or perioperative documentationFamiliarity with regulatory requirements (e.g., CMS the Joint Commission, ASA guidelines)RHIA or RHIT certificationThe pay range for this position is $73,569.60 - $110,344.00. Compensation is determined based on years of relevant experience and departmental equity.About ShrinersEvery day, we provide innovative, compassionate care and conduct leading research that enhances the quality of life for children and their families. We invite you to explore the many rewarding career paths at Shriners Children's, from clinical and non-clinical positions to education and research opportunities.We’re always looking for driven, compassionate professionals to join our team as nurses, physical therapists, medical assistants, administrative staff and much more. No matter where you're located, you'll find openings at our Shriners Children’s facilities across the U.S., in Canada and Mexico and at our corporate headquarters in Tampa, Florida.Eligible Shriners Children’s employees receive comprehensive benefits packages, including medical, dental and vision insurance, tuition assistance, retirement matching and so much more!
22 days ago