Compliance Auditor

Munson Healthcare•Traverse City, MI

About The Position

The Compliance Auditor is well versed in healthcare regulations, policies, and procedures, and serves as a protector of revenue for the Munson Healthcare System (Munson) through the completion of formal audits and the provision of various advisory/consultative services. These audits include medical record documentation, medical necessity requirements, revenue cycle, and operational processes to ensure Munson is compliant with state and federal laws, payer regulations, and other guidance. These audits provide insight into processes, internal controls, and related risk, and assist in preventing, detecting, and correcting risks of non-compliance. The Compliance Auditor reports on the results of audits and projects using knowledge of best practices to identify issues to improve business operations and minimize risk, and serves as a technical resource on documentation, coding, billing, and general compliance questions. Identifying, analyzing, and assessing complex enterprise-wide environment, responding to regulatory compliance inquiries and issues, and addressing compliance program needs are also functions of this position. The ideal candidate has excellent leadership and analytical thinking skills; excellent verbal and written communication skills; is flexible and adaptable; and experienced leading and managing compliance initiatives through teamwork, collaboration and open communication.

Requirements

Bachelor's degree, preferably in healthcare, business, or related field OR Associate’s degree in related field and 5 years of experience will be considered, preferably with additional relevant credentials or focused education
4 years healthcare experience, preferably in compliance, coding and billing, medical record documentation, auditing, or other directly relevant areas required