Compliance Auditor Provider Liaison

HH Health System•Huntsville, AL

4d•Onsite

About The Position

The Compliance Auditor Provider Liaison is responsible for conducting detailed audits of professional coding and provider documentation across numerous specialties, identifying compliance risks, and promoting best practices through education and feedback. The auditor partners closely with providers, coders, and revenue cycle leadership to ensure alignment with organizational policies, payer requirements, and federal regulations.

Requirements

High School diploma or GED required.
Certified Coder with Auditing Certification with AAPC.
Minimum of 5 years of experience in a hospital or professional revenue cycle.
Minimum of 5 years coding experience with CPC certification.
Minimum of 3 years of coding auditing experience.
Demonstrated experience educating or training providers on documentation and coding standards.
Thorough understanding of Medicare/Medicaid guidelines as well as commercial insurance policies regarding coverage, medical necessity and billing standards.
Thorough knowledge of healthcare compliance, including HIPAA.
Strong organizational and problem solving skills with the ability to manage and prioritize multiple responsibilities in a fast-paced, stressful environment.
Proficient in operating the software system as it relates to billing and reporting functions.
Excellent verbal, written and attentive listening communication skills.
Strong collaborative skills to develop effective working relationships with staff, other managers, other departments and upper management.
Strong analytical, investigative, and problem-solving skills.
Excellent communication and interpersonal skills for engaging with providers and leadership.
High attention to detail, confidentiality, and integrity.

Nice To Haves

Broad exposure to multiple specialties such as cardiology, general and specialized surgery, oncology, and primary care/internal medicine strongly preferred.

Responsibilities

Conducting detailed audits of professional coding and provider documentation across numerous specialties.
Identifying compliance risks.
Promoting best practices through education and feedback.
Partnering closely with providers, coders, and revenue cycle leadership to ensure alignment with organizational policies, payer requirements, and federal regulations.
Assessing work flows and developing process improvement recommendations.
Coaching and mentoring staff to promote optimal effectiveness, teamwork, and morale.

Benefits

Medical
Dental
Vision
Life insurance
Flexible spending
Short term disability
Long term disability
Several retirement account options with 401K organization match
Nurse residency program
Tuition assistance
Student loan reimbursement
On-site training and education opportunities
Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more