Compliance Data Analyst

Lexington Medical Center

3d • Onsite

About The Position

Under the general direction of the Compliance Audit Manager, this role facilitates the generation of risk-based data mining within Epic. The analyst analyzes data to determine areas of risk and stays abreast of all regulatory and state updates to assist in identifying areas of risk and noncompliance for the organization. This position is responsible for generating all reports and data used for Corporate Compliance audit and monitoring.

Requirements

• High School Diploma or Equivalent
• 4 Years of directly related health care experience
• Certified Professional Coder
• Strong Problem solving skills
• Ability to articulate orally and in writing an understanding of complex issues and detailed action plans, while representing the organization professionally (communicates with physicians, Advanced Practice Providers (APPs), senior administrators and department staff)
• Advanced level of proficiency and knowledge of Microsoft Excel, Pivot tables, ICD-10 and CPT
• Strong background in regulatory rules and guidelines and risk based trends in healthcare.

Nice To Haves

• 4 Years of experience can be substituted for an Associate's Degree with 2 Years of directly related experience or a Bachelor's Degree in business or related field.

Responsibilities

• Facilitating data mining reports generated from Epic for the Auditors as needed.
• Working closely with EPIC analysts when areas of risk are identified.
• Working closely with other departments, Health Information Management and Revenue Integrity to conduct coding reviews and inquiries.
• Using Comply Track Assessment tool to help identify areas of risk within Lexington Medical Center (LMC).
• Participating in risk assessment of areas of focus designated by the Recovery Audit Contractors, MIC, OIG, ZPIC and other regulatory agencies.
• Consulting with Revenue Integrity personnel and the Compliance Audit Manager when relevant issues of federal and state health care billing law and regulations are discovered to create overpayments.
• Keeping abreast of ICD-10, CPT-4, and HCPCS coding changes, compliance issues and regulations and providing communication and updates regarding changes in regulations, policies or procedures pertaining to the Compliance Program.
• Treating patients, fellow employees and all individuals met while representing Lexington Medical Center with courtesy and respect in keeping with the LMC vision.
• Adhering to organization wide policies.
• Performing all other duties as assigned.

Benefits

• Day ONE medical, dental and life insurance benefits
• Health care and dependent care flexible spending accounts (FSAs)
• 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
• Employer paid life insurance – equal to 1x salary
• Employee may elect supplemental life insurance with low cost premiums up to 3x salary
• Adoption assistance
• Employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
• Tuition reimbursement
• Student loan forgiveness

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED