Sr. Compliance Auditor, Physician Services - Atlanta
2 weeks ago
Job summary
We are seeking a Sr Compliance Auditor to develop and execute audit monitoring and education for both facility and professional billing coding and documentation programs that ensure compliance with regulatory standards across Physician Services.Responsibilities include preparing overseeing facility professional billing and coding components of the Compliance work plan reflecting scheduled activities target dates leading focused audits reviews to investigate adherence with facility professional billing compliance policies legal and regulatory requirements identifying evaluating risk areas creating audit result reports organizing scheduling audit findings education sessions reviewing results conducting trend analyses communicating auditing trending feedback to coders providers working in the hospital office setting managing fostering relationships training on proper documentation ensuring required provider compliance training is completed on time maintaining confidentiality performing assigned work safely adhering established departmental safety rules practices reporting supervisor timely manner unsafe activities conditions hazards safety violations causing injury oneself other employees patients visitors.
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Qualifications
Bachelors degree required experience lieu degree e.g associates degree years experience Current Certified Coding Specialist CCS or Certified Professional Coder certification required Minimum five years experience facility professional audit activities proficient MDAudit Enterprise software Epic electronic health record systems thorough knowledge coding documentation improvement practices thorough knowledge understanding hospital inpatient billing coding documentation requirements Federal State regulations medical necessity clinical best practices facility professional billing issues clinical background preferred LPN RN etc Certification Healthcare Compliance preferred Project management experience preferred Knowledge Skills Ability Requirements legal regulatory policy compliance issues related coding procedures documentation clearly communicate coding information including results coding compliance audit activities root cause analysis critical thinking gaining acceptance recommended solutions team player understands role others strong interpersonal communication skills clear concise persuasive writing presentation skills strong orientation deadline detail strong organizational project management skills working knowledge computer software Word Access Excel PowerPoint EMR healthcare financial management principles/practices ability work highly matrixed environments ability flexible adapt change.Job description
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