Compliance Auditor
About The Position
Responsible for conducting internal audits and monitors to ensure that the organization’s processes and operations are in compliance with laws, corporate guidelines, best practices, and contractual agreements. Job Description Knowledgeable of general audit concepts and techniques, including the type of audits, the approaches and processes, and the subsequent activities, as they relate to internal audits. Demonstrates the ability to interpret Federal rules and regulations. Demonstrates the ability to research regulation from various data sources. Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in Current Procedural Terminology (CPT), International Classification of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment. Demonstrates both knowledge and application of Sanford Health Systems, policies, procedures, and guidelines. Demonstrates commitment to continuous learning for themselves and performs as a role model to other coding staff.
Requirements
- Knowledgeable of general audit concepts and techniques, including the type of audits, the approaches and processes, and the subsequent activities, as they relate to internal audits.
- Demonstrates the ability to interpret Federal rules and regulations.
- Demonstrates the ability to research regulation from various data sources.
- Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in Current Procedural Terminology (CPT), International Classification of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment.
- Demonstrates both knowledge and application of Sanford Health Systems, policies, procedures, and guidelines.
- Demonstrates commitment to continuous learning for themselves and performs as a role model to other coding staff.
- Two years’ experience is required.
- Certification in one of the following is required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or an equivalent.
Nice To Haves
- High school diploma or equivalent preferred.
- Advanced diploma or degree in Health Information Management or healthcare related field is preferred.
- Prior relevant compliance work experience is preferable.
- Certified Healthcare Auditor (CHA) certification to be completed within one year of employment is preferred.
Responsibilities
- Conducting internal audits
- Monitoring to ensure compliance with laws, corporate guidelines, best practices, and contractual agreements
- Interpreting Federal rules and regulations
- Researching regulation from various data sources
- Analyzing patient records to identify non-conformances in Current Procedural Terminology (CPT), International Classification of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment
- Demonstrating knowledge and application of Sanford Health Systems, policies, procedures, and guidelines
- Demonstrating commitment to continuous learning and performing as a role model to other coding staff
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
