Compliance Auditor/Analyst

ProMedica Shared ServicesToledo, OH
Onsite

About The Position

As a Compliance Auditor/Analyst, you will perform audits to measure compliance with regulations, policies, procedures, workflow and other applicable requirements for ProMedica. You will identify clinical risks, documentation errors, lost revenue opportunities, overpayments and insufficient medical record documentation. You will assess control weaknesses and make recommendations for improvement. The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive.

Requirements

  • Bachelor's Degree and/or a minimum of four (4) years experience in relevant clinical healthcare, education/training, or regulatory compliance.

Nice To Haves

  • Master's degree or RN preferred
  • Experience with chart review/analysis (such as utilization review, discharge planning, peer/quality reviews, etc.)
  • CHC Certified

Responsibilities

  • perform audits to measure compliance with regulations, policies, procedures, workflow and other applicable requirements
  • identify clinical risks, documentation errors, lost revenue opportunities, overpayments and insufficient medical record documentation
  • assess control weaknesses and make recommendations for improvement

Benefits

  • We offer a competitive benefits package with coverage effective day one of employment which includes medical, dental, vision, company paid life insurance, paid time off, a 401k retirement plan, an employee assistance program and other voluntary coverage options and employee discounts.
  • We provide flexible benefits that include compensation and programs to help you take care of your family, your finances and your personal well-being. It’s what makes us one of the best places to work, and helps our employees live and work to their fullest potential.
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