Compliance Auditor
About The Position
The Compliance Auditor reports to the Internal Audit Coordinator and performs audits to evaluate adherence to laws, regulations and policies by reviewing records, analyzing data, and interviewing staff and stakeholders. These audits include but are not limited to services identified as high-risk via the annual risk assessment, OIG-CMS-PGBA workplan areas, ad hoc audit requests, and “for cause” coding and billing concerns. The audit scope includes a) the regulatory and industry research needed for audit planning, b) pre and post audit meetings with stakeholders, c) cohesive audit report that communicates results and includes a corrective action plan if warranted, and d) education and training to stakeholders as needed.
Requirements
- Bachelor's degree in a related field and a minimum of 2 years of medical billing, coding, and or audit experience or high school diploma or equivalent (GED) and 4 years of medical billing, coding, and or audit experience required; college degree preferred.
- Applicant must be credentialed as a coder or similar professional body (RN, RHIA, CPC, etc.) that lends to compliance auditing.
- Effective oral and written communication skills required.
- High School Degree or Equivalent
- 3 years Work Experience
Responsibilities
- Perform assigned audit timely and accurately
- Maintain audit documentation in the platform and database
- Other duties as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
