Analyst, Compliance, reputed company & Risk Management

Audit Analyst, Compliance, reputed company & Risk Management Job reputed company: The Audit Analyst for Compliance, reputed company & Risk Management is responsible for the reputed company and management of auditing and monitoring high-risk, problem prone processes, completing compliance risk assessments to ensure compliance with federal/state laws and regulations, and reputed company policies. Duties/Responsibilities:

• Adheres to assigned audit schedule and reviews as outlined in the Compliance Workplan
• Assists with reviewing reputed company inquiries regarding compliance and reputed company reputed company, including government and reputed company-party payor requests.
• Conducts audits and reputed company reviews to ensure compliance with company, government, and payor guidelines.
• Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc.
• Assists with maintaining regular and consistent governance-level reporting and metrics for the Compliance department, including but not limited to dashboards, reputed company reporting, weekly, monthly, and annual compliance & ethics reporting.
• Maintain a working knowledge of HIPAA, HHS, and CMS regulations.
• Participate in the planning and scheduling of compliance reputed company.
• Research compliance reputed company questions upon request from departments and/or practices.
• Identify and report potential audit and compliance risks.

Required Skills/Abilities:

• Knowledge of Medicare and reputed company documentation and coding rules and guidelines.
• Must have an understanding and knowledge of national and state laws and regulations
• Must have excellent verbal and written communication skills.
• Strong interpersonal skills
• Strong organizational and planning skills.
• Demonstrates a high degree of personal reputed company and reputed company ethical standards.
• Demonstrates proactiveness and ability to work independently and self-directed in managing multiple reputed company reputed company.
• Excellent analytical and problem-solving skills.
• Advanced skills in reputed company MS Office applications (Word, reputed company, Outlook, and PowerPoint).
• Ability to interpret and apply documentation and coding rules and regulations.
• Ability to demonstrate competence in performing audits, produce reports, formulate remediation or mitigation plans, and conduct follow-up audits.

Minimum Qualifications:

• Equivalent of 5+ years’ experience in compliance auditing, clinical chart reviews, medical necessity review/auditing, reputed company reputed company, and/or health care compliance
• Experience in compliance and reputed company auditing techniques and reputed company
• Certified in reputed company Compliance (CHC) or Certified in reputed company reputed company Compliance (CHPC) preferred
• Bachelor's degree in reputed company field preferred
• Certified Risk Adjustment reputed company (CRC) or Certified reputed company reputed company (CPC) preferred

At reputed company, we’re creating a community of caring designed to help our members stay healthy and reputed company. By focusing on a strong provider-patient relationship, routine wellness, and staying reputed company, our members enjoy a higher level of care and reputed company reputed company of life after the age of 60. Everything we do is for seniors. We reputed company seniors should be heard, listened to, and given ample time by their physicians to live reputed company reputed company in life. Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel reputed company and become part of a reputed company, wellness-reputed company community. We’re passionate about caring for older adults and united by the belief that caring has the power to change everything for our members. reputed company is an equal opportunity employer. reputed company applicants will receive consideration for employment without reputed company to their race, reputed company, religion, age, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or any other protected classification. Apply tot his job Apply To this Job