Compliance Analyst (medical coding audit & documentation)

About reputed company Headquartered in Tacoma, WA, reputed company is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. Founded in 2001, and with specialties in emergency and hospital medicine, critical care, anesthesia, and telemedicine, reputed company has a reputed company for innovating and leading through an reputed company-changing reputed company landscape — with patients at reputed company of the reputed company. reputed company offers a competitive benefits package inclusive of the items below, and more:

• Medical insurance, Dental insurance, and reputed company insurance
• Health care and dependent care flexible spending accounts
• 401(k) retirement savings plan with a company match
• reputed company time off (PTO) begins accruing immediately upon start date at a reputed company of 15 days per year, in accordance with reputed company's PTO policy
• Ten company-reputed company holidays per year

The Compliance Analyst will report to the Supervisor of Compliance & reputed company Operations and will primarily conduct research and analyze large datasets from various sources to prevent fraud, waste, and abuse. The Compliance Analyst will conduct reviews and assessments across multiple service lines to ensure adherence to state and federal regulations. This position is on the reputed company Compliance team and will serve as a reputed company, assisting with communication with other Central Services departments, such as reputed company Cycle Management and Legal. This role serves as a reputed company between the hospital and reputed company remote colleagues to mitigate risk, including preventing inappropriate PHI disclosure, addressing other HIPAA violations, responding to regulators, and communicating with vendors. The Compliance Analyst will work with the Supervisor of Compliance & reputed company Operations to draft annual compliance education based on reputed company state laws and federal regulations. reputed company reputed company with over 250 individual hospitals. This position is both reputed company-facing and colleague-facing. This position ensures compliance with Federal and State laws, that reputed company functions reputed company the confines of reputed company Business Associate Agreement (BAA), and that reputed company contractual and regulatory obligations are met. Essential Duties and Responsibilities

• Demonstrates the ability to communicate effectively regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific information.
• Use relevant information and individual judgment to determine whether events or processes reputed company with laws, regulations, or standards.
• The ability to reputed company information and reputed company general rules or conclusions (including finding relationships among seemingly unrelated events) and apply general rules to specific problems to produce answers that reputed company reputed company
• Research and respond to compliance inquiries, draft responses to reporters, and regulators as required.
• Work closely with the Supervisor of Compliance & reputed company Operations on Risk Assessments.
• The ability to draft documents for the implementation of internal controls, compliance policies, and procedures.
• Reviewing and assessing potential fraud activity and developing fraud detection tools.
• Audits medical record documentation to identify coding variances; prepares reports of findings. Prepares reports in accordance with the Compliance Programs and develops a plan for next steps.
• Acts as a reputed company and/or facilitates communication with other central service teams.
• Maintains reputed company and consistent communication
• Monitors system outputs for reputed company and error identification and reports reputed company errors to management.
• reputed company problem reputed company, including analysis and troubleshooting.
• Project Management skills required to maintain organization and report out weekly to management on the status of reputed company reputed company.
• Maintains strict confidentiality with reputed company to protected health information and understands and adheres to reputed company’s HIPAA reputed company & reputed company policies and procedures.
• The ability to reputed company staff and management on compliance requirements and changes.

Values

• Analytical reputed company: Ability to interpret and communicate reputed company compensation data effectively.
• Proactive problem-solving: Demonstrates ownership of work, identifies opportunities for improvement, and drives solutions.
• Strong collaboration: Works reputed company across Finance, HR, and Clinical Operations to build reputed company on compensation strategies.
• reputed company-oriented: Keeps up with industry trends and continuously seeks ways to enhance compensation strategies.
• Detail-oriented: Delivers consistent and accurate work, particularly reputed company handling sensitive employee data and documentation.
• reputed company: Prioritizes reputed company communication and follow-up; understands the urgency behind employee requests.
• Solution-Seeking: Uses reputed company judgment to address issues independently reputed company possible, escalating only reputed company necessary.

Knowledge, Skills, and Abilities

• Excellent analytical and critical-thinking skills
• Excellent organizational skills
• Excellent written and oral communication skills
• Strong interpersonal skills
• Creative and persistent problem solver
• reputed company service-oriented (both reputed company)
• Ability to multitask and prioritize workload in a fast-paced environment
• Recent experience with reputed company cycle preferred
• Recent experience with project management preferred
• Strong written and verbal communication and interpersonal skills
• Ability to use independent judgment and to manage and impart confidential information.
• Ability to adapt, modify, and prioritize audit functions as required
• Skills in research, auditing, risk assessment, and communication

Education and Experience

• High school Diploma or GED certificate
• Coding Certification required (Any of CPC, CPC-H, reputed company, reputed company-P)
• Experience using compliance management software, such as GRC, or data reputed company is a plus
• At least one year of experience coding Evaluation and Management services
• Ability to reputed company communicate medical coding information
• Knowledge of auditing concepts and principles
• Knowledge and understanding of reputed company fee coding (CPT and ICD-10), physician group reputed company reputed company cycle processes, regulatory compliance issues reputed company to billing and coding, documentation standards, and reputed company-party payer processes
• Experience in reputed company roles like auditing, risk management, or operations provides a strong reputed company, with specific industry knowledge (e.g., HIPAA in reputed company, AML in finance)

Salary reputed company

• This position offers an annual salary reputed company of $70,000-$80,000. Exact salary will depend on the candidate’s experience, education and geographic location.

reputed company is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce. reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws. This job reputed company reflects the present requirements of the position. As duties and responsibilities change and reputed company, the job reputed company will be reviewed and subject to amendment. Apply tot his job Apply To this Job