Associate Oncology Compliance Auditor

McKesson

2d•$22 - $37•Remote

About The Position

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you. The Associate Compliance & Ethics Specialist is responsible for performing both routine and non-routine coding audits under the Direction of the Compliance & Ethics Sr. Manager. The Associate Compliance & Ethics Specialist is also responsible for audit reporting, communication of audit outcomes, and following up on any additional audit needs. The Associate Compliance & Ethics Specialist assists senior team members with government audits, and addressing coding inquiries as needed. Demonstrates working knowledge of all facets of role, relevant regulations, and organizational and departmental policies and procedures. Performs other duties and projects as assigned. Performs all duties in accordance with regulatory requirements and organizational policies and procedures. This individual works independently while also collaborating in a team environment to address coding and billing matters across various departments.

Requirements

Healthcare (Required)
Typically, minimum 0-2 years of relevant experience. May have degree or equivalent
Must be authorized to work in the U.S.- Sponsorship is not available for this position.

Nice To Haves

Associate or Bachelor degree (Preferred)

Responsibilities

Performs routine coding audits under the Direction of the Compliance& Ethics Sr. Manager
Performs both routine and non-routine coding audits under the Direction of the Compliance & Ethics Sr. Manager
Drafts and prepares audit results and reports to be shared with the FCS providers
Reviews and provides timely responses to coding inquiries
Assists with follow up education for Providers where required
Contributes to the completion of government audits when requested
Reviews documentation to ensure coding is supported by medical records
Ensures documentation aligns with claim data
Maintains confidentiality of all information as required by regulations and guidelines
Knowledgeable of federal and state Coding regulations
Staying abreast of continuously shifting Coding Compliance landscape to ensure FCS remains in compliance with all state, federal, and local regulations, laws, and policies
Performs additional tasks as needed to support team