Description
Affiliated Computer Services, Inc. (ACS) is expertise in action™. We are a FORTUNE 500 company with 74,000 employees worldwide supporting client operations reaching more than 100 countries. We provide business process outsourcing and information technology solutions to world-class commercial and government clients.
Our employees operate with integrity, and are flexible, reliable and responsive. If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.
May perform one or more of the following duties:
Job Description:
This position requires the Field Auditor to cover a specific geographical area to be determined based on the location of the eligible audits. A work schedule of audits is provided to the Field Auditor by the National Audit Manager approximately two weeks in advance.
The Field Auditor is responsible for contacting the pharmacies that they are scheduled to visit 3 to 5 business days before the scheduled date via telephone. Notification of each audit is primarily established with a letter sent by Pharm/DUR to the pharmacy 3 weeks in advance and then followed up with a confirmation phone call from the auditor. The purpose of the confirmation call 3 to 5 days before the visit is to: inform the Pharmacy Manager of the time that you will be coming and, to divulge a chronological starting point of the materials that the auditor will request to review onsite. The auditor records the name of the person they spoke to on the phone.
When the Field Auditor arrives at the scheduled time they introduce themselves, have their Pharm/DUR identification badge displayed prominently, and give a business card to the pharmacist in charge, store manager, or audit chaperone. The Field Auditor requests to see approximately one hundred and fifty to two hundred unique hard copy prescriptions and eighteen patient pick-up signatures. Depending on the situation, the Field Auditor may have to look through the pharmacy’s files on their own to get the prescriptions or the prescriptions can also be taken from the prescription files by an audit assistant.
Using a laptop computer, the Field Auditor is able to gather data by comparing the information on the front of the hard copy prescription against the information that was processed and transmitted to the insurance company on the day of the paid claim respectively. The Field Auditor is instructed to thoroughly review particular items on each hard copy prescription such as: patient name, date written, dispensing physician, medication name, medication strength, quantity dispensed, refills allocated by physician, physician signature, DAW code, and proper supplemental notes added by the pharmacist to verify or confirm a modification made to the prescription (if any). The software also records how many Physician generated versus how many telephone prescriptions audited. The Field Auditor also acknowledges some necessary state and federal pharmacy practice parameters in the audit review when applicable. When the Field Auditor flags a prescription for a discrepancy they do so by attaching one of the reason codes and by physically copying the hard copy using a digital scanner.
Patient pick-up signatures are looked up and verified appropriately provided prescription number and date are displayed next to where the patient signed. The Field Auditor may see the need to ask for additional patient pick-up signatures for a number of reasons.
While the Field Auditor is onsite, they routinely collect credentials such as pharmacy store license number, store DEA number, license number of pharmacist in charge, some HIPAA acknowledgments and processes. At the conclusion of the audit the Field Auditor prepares audit forms to be signed and generally describes the discrepancy types and the reason codes that were used in the onsite audit.
After the completion of two in-store audits, the Field Auditor has the responsibilities of uploading the zipped, electronic completed audit files to the Pharm/DUR server via the internet and to write up a summary analysis of the substantial events of the audit and any relevant information.
All other duties as assigned.
ACS is an Equal Opportunity Employer and does not Discriminate against any applicant on the basis of race, color, religion/creed, national origin, gender, or sex, marital status, age, disability, use of a guide dog or service animal, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance. People with disabilities who need a reasonable accommodation to apply or compete for employment with ACS may request such accommodations by calling 866-419-2226 .
