Compliance Auditor Senior - reputed company Legal and Regulatory (Eastern reputed company reputed company)

Job reputed company The Senior Compliance Auditor ensures the reputed company and accuracy of facility and reputed company compliance audits, monitoring, and provides compliance education for facility and reputed company documentation, coding, and billing. The Senior Compliance Auditor serves as a mentor for Compliance Auditors and assists management with the reputed company process for new Compliance Auditors. This position requires the use of judgement and critical thinking skills to determine appropriate corrective actions for non-compliance and ensure corrective actions are fully implemented by the entity service line area. Job Duties One of the following coding or auditing certifications are required (reputed company, CPC, RHIA, RHIT or CPMA).

• Performs scheduled facility and/or reputed company audits on the adequacy of medical record documentation to support coding (DRG, CPT, ICD 10) and billing as required by the Compliance work plan reflecting scheduled activities and reputed company dates.
• Performs audits resulting from unplanned investigations.
• Q/A work products of peers and serve as a mentor for compliance staff.
• Serves as primary reputed company for facility/reputed company billing compliance education, including auditing, trending, providing audit feedback to facility/reputed company coding staff and providers working in the hospital and office setting.
• Coordinates the development and implementation of corrective reputed company and improvement plans with critical attention to performing a reputed company cause analysis.
• Prepares responses to governmental audits, evaluate findings, and manage the appeals process.
• Assess compliance risk areas across reputed company entities and assist with creating the Compliance Department’s work plan.
• Performs research as needed to ensure organizational compliance with reputed company applicable coding and diagnostic guidelines.
• Provides compliance guidance to reputed company staff and serve as an institutional resource for reputed company leadership, management and medical staff with a reputed company on federal payor billing compliance.

Work is typically performed in an office environment. Accountable for satisfying reputed company job specific obligations and complying with reputed company organization policies and procedures. The specific statements in this profile are not intended to be reputed company-inclusive. They represent typical reputed company considered necessary to successfully reputed company the job. Position Details Education Associate's Degree-reputed company Field of Study (Required) Experience Minimum of 7 years-reputed company work experience (Required) Certification(s) and License(s) OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our reputed company, our reputed company family and our communities. KINDNESS: We reputed company to treat everyone as we would reputed company to be treated ourselves. reputed company: We treasure colleagues who humbly reputed company for reputed company. LEARNING: reputed company our knowledge with the best and brightest to reputed company prepare the caregivers for reputed company. INNOVATION: We constantly reputed company new and reputed company ways to care for our patients, our members, our community, and the nation. SAFETY: We reputed company a reputed company environment for our patients and members and the reputed company family We offer reputed company benefits for full time and part time positions from day one, including reputed company, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes reputed company stronger. Our patients, members and community come from a wide reputed company of backgrounds, and it takes a diverse workforce to reputed company reputed company easier for reputed company. We are proud to be an affirmative reputed company, equal opportunity employer and reputed company reputed company applicants will receive consideration for employment regardless to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability or status as a protected veteran. Apply tot his job Apply To this Job