- Primary responsibility is to complete audits of departmental compliance chart reviews and to participate in audits requested by third party payors. 2. Assess provider documentation for IDC-10 and CPT-4 coding accuracy, compliance with University and government regulations. 3. Obtain and review charge documents, encounter forms, medical records and billing procedures. 4. Evaluate results, identify system control weaknesses and in conjunction with department management, develop plan of action and solutions based on audit results. 5. Participate in the implementation of corrective action changes. 6. Design and maintain accurate tracking logs, including spreadsheets, of all ongoing investigations. 7. Follow up on corrective action. Report findings to the Compliance Officer, PFS and University Auditor as needed.8. Conduct training sessions with individual physicians and/or departments on medical billing compliance. Provide input on areas and subjects where education is needed. 9. Advise and assist in development of training materials and programs for clinical and billing staff relative to accurate coding, documentation billing and regulatory guidelines.10. Conduct data analysis. Generate reports using Query tools to identify trends and problem areas for focus of internal audits. 11. Participate in the ongoing implementation of the Compliance Program. Knowledge of University Medical Billing Compliance Plan, operations and procedures. 12. Stay abreast of best practice coding and auditing practices and regulatory changes. Maintain CPC designation by obtaining necessary CEUs on an annual basis.
-
Compliance Auditor
3 weeks ago
Yale University New Haven, United StatesCoordinate and conduct medical billing audits for the Yale Medicine Administration. Evaluate medical billing, coding and documentation for 18 clinical departments under the direction of the Compliance Officer. Provide training and feedback to physici Auditor, Audit, Compliance, M ...
-
Compliance Auditor
2 weeks ago
Yale University New Haven, United StatesEssential Duties · 1. Primary responsibility is to complete audits of departmental compliance chart reviews and to participate in audits requested by third party payors. 2. Assess provider documentation for IDC-10 and CPT-4 coding accuracy, compliance with University and governme ...
-
Compliance Auditor
3 weeks ago
Yukon-Kuskokwim Health Corp. Bethel, United StatesPosition Summary: · Review data, such as billing, coding, financial, and medical record documentation to determine compliance with applicable regulations, policies, and requirements. Assist with internal audits and regulatory risk assessments. Research, interpret and communicate ...
-
Medical Record Coding Compliance Auditor
2 weeks ago
BRISTOL HOSPITAL GROUP Bristol, United StatesJob Details · Level · Experienced · Job Location · BHI Valley St - Bristol, CT · Position Type · Full Time · Education Level · 2 Year Degree · Job Shift · 1st Shift (Days) · Job Category · Health Care · Job Summary · At Bristol Health, we begin each day caring today ...
-
Medical Record Coding Compliance Auditor
4 weeks ago
BRISTOL HOSPITAL GROUP Bristol, United StatesJob DetailsLevelExperiencedJob LocationBHI Valley St - Bristol, CTPosition TypeFull TimeEducation Level2 Year DegreeJob Shift1st Shift (Days)Job CategoryHealth CareJob SummaryAt Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our ...
-
Accounting Manager
2 weeks ago
ITech Consulting Partners New Haven, United StatesTitle: Manager, Accounting · Location: New Haven, CT; Hybrid option · Duration: 6 months · Job Type: W-2 Contract PART-TIME* · PART-TIME, variable schedule; there may be up to 40 hours for start and end of month activities and · This Is What You Will Do · The Manager, Accou ...
-
Accountancy Manager
2 weeks ago
NEWAGESYS New Haven, United StatesThe Manager, Accounting is responsible for applying generally accepted accounting principles and procedures to analyze financial information, prepare accurate and timely results and to ensure appropriate accounting control procedures.This position will be a key member of a cross- ...
-
Auditor II
3 weeks ago
City of New Haven New Haven, United StatesThis is entry level professional auditing work in the examination and review of accounts of City departments and agencies. The Auditor II position is pivotal in conducting comprehensive audits of financial records, operational procedures, and internal controls to ensure complianc ...
-
Manager Financial Reporting
1 day ago
Yale New Haven Health New Haven, Connecticut, United States PermanentOverview: · To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and pr ...
-
Information Security Manager
1 week ago
BankMobile New Haven, United StatesOverview: · About BM Technologies, Inc. · BM Technologies, Inc. (NYSE American: BMTX, BMTX.W) is among the largest digital banking platforms in the U.S., providing access to checking and savings accounts, personal loans, credit cards, and financial wellness. It is focused on tech ...
-
Quality Assurance Manager
2 weeks ago
Village Gourmet New Haven, United StatesJob Description · Job DescriptionLaunched in 2020, Village Gourmet brings together specialty producers of fine meat and snacking options to help America eat better. With a dedication to quality, Village Gourmet supports its specialty food brands with the resources they need to gr ...
-
Controller
2 weeks ago
Vaco New Haven, United States Regular, Full timeOur client, in the FinTech space is looking for a Controller. This is a remote role but must live in Connecticut. Great team, looking for a hands on Controller who wantsa seat at the table. This is a growing successful company, great opportunity to get in from the ground up. · Jo ...
-
Director of Business Operations, CORE
1 week ago
Yale New Haven Health New Haven, United StatesOverview · To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and pro ...
-
Clinical Supply Chain Documentation Specialist
2 weeks ago
eTeam New Haven, United StatesTitle: Clinical Supply Chain Documentation Specialist · Work Location: 100% Remote · Client Location: 100 College Street, New Haven, CT 06510 · Duration: 12 Months Contract · Pay Rate: $66.00/hr on w2 · #Openings: 2 · Day-to-day Operations: · 1. Collaborate with CSMs on maintena ...
-
Accountancy Manager
3 weeks ago
Apollo Professional Solutions New Haven, United StatesJob DescriptionAccountancy Manager New Haven CT Contract - 1st, Part-Time Pay Rate:$78.57/Hr. Benefits:parking reimbursed, medical, dental, vision, 401k Requirements: Accountancy Manager US CitizenshipBachelor's degree or higher in a relevant field (Accounting, Finance)7+ years o ...
-
Accountancy Manager|ALX|US
2 weeks ago
Talent Space New Haven, United StatesTalent Space, Inc. is looking for a Accounting Manager for a Part-Time contract opportunity in New Haven, CT · PARKING WILL BE REIMBURSED · The Manager, Accounting is responsible for applying generally accepted accounting principles and procedures to analyze financial informatio ...
-
Accounting Manager
2 weeks ago
eTeam New Haven, United StatesTitle: Accounting Manager · Work Location: New Haven, CT 06510 · Duration: 6 Months contract · Pay Rate: $ $80.00/hr on w2 · Reports To: Director, Global Revenue & Americas Controller · ****PART-TIME POSITION, 3 DAYS PER WEEK ONSITE AT NEW HAVEN, CT, PARKING WILL BE REIMBURSED * ...
-
Auditor II
3 weeks ago
CITY OF NEW HAVEN NEW HAVEN, United StatesThis is entry level professional auditing work in the examination and review of accounts of City departments and agencies. The Auditor II position is pivotal in conducting comprehensive audits of financial records, operational procedures, and internal controls to ensure complianc ...
-
IT Auditor
2 weeks ago
Town Co. East Haven, United StatesAbout Us: · As a premier retailer known for pushing the boundaries of quality, customer service, and innovation, we are on the brink of an exciting transition. In the next 6-12 months, we will become a publicly-traded company, marking a significant milestone in our journey. Our I ...
-
Chief Auditor
6 days ago
City of New Haven New Haven, United StatesPRIMARY FUNCTIONS · This is a highly responsible professional and supervisory position that manages, directs, and controls internal audits, investigations, and inspections that promote integrity, effectiveness, and efficiency of operations; develops and maintains the City's inter ...
Compliance Auditor - New Haven, United States - Yale University
Description
Essential DutiesBachelor's in Health Care Management, Finance, Business or Nursing or a related field. Five years' experience in multi-specialty group practice, academic plan or hospital or an equivalent combination of educational and experience.
Background Check Requirements
All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements.
For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.
Position Focus:
Coordinate and conduct medical billing audits for the Yale Medicine Administration. Evaluate medical billing, coding and documentation for 18 clinical departments under the direction of the Compliance Officer. Provide training and feedback to physicians and departmental personnel who have responsibilities with billing activities. This opportunity is currently remote (work from home, in or outside CT) for a position located in CT.
Preferred Education, Experience and Skills:
CPC credentials preferred. Computer skills include Epic, WEBI, Word, Excel, and Access. Related clinical field background. Experience in healthcare auditing, Medicare and Medicaid or related clinical experience.
Posting Disclaimer
The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the particular position.