Jobs
>
Toledo

    Compliance Auditor - Toledo, United States - Toledo Clinic Inc

    Toledo Clinic Inc
    Toledo Clinic Inc Toledo, United States

    2 weeks ago

    Default job background
    Full time
    Description

    General Summary:


    Responsible for reviewing, analyzing, disseminating, and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance.

    Responsible for the processing of Medicare and other insurance carrier audit requests, such as Performant Audits, Targeted Probe Reviews, Overpayment Recoupment Efforts.

    Assist Internal Auditors as needed. Assist Medical Offices for coding and claims as needed.

    Works under the Supervision of the Quality and Compliance Director


    Principal Duties & Responsibilities:

    Example of Essential Duties:

    • Audit medical records for data collection and format, coding documentation and content utilizing pre-established criteria. Meets with physicians to review audit results and makes needed recommendations.
    • Audit medical record for adherence to Toledo Clinic Electronic Medical Record policies and procedures, documentation of quality measures, treatment plans, patient follow-up, as well as federal and insurance guidelines.
    • Performs educational sessions with physicians as needed.
    • Creates educational programs for physicians and coding staff to maintain compliance education.
    • Maintain written or computerized log of all data collected.
    • Assist in collating, analyzing, and preparation of written report for the
    Compliance Program under the direction of the manager(s).


    • Assist and/or perform these audits on main campus and satellite locations.
    • Monitors and retains Internal Compliance accountability logs.
    Other Essential Duties May Include (but are not limited to):


    • Assist with special projects/audits and/or education as requested.
    • Other duties as assigned.
    Knowledge, Skills & Abilities

    Required:

    Required:

    • Minimum 5 years' experience in Coding, Billing, and Auditing.
    • Knowledge of computer software, HTML forms design, data base spreadsheets, and word processing.
    • Knowledge of medical records documentation policies and procedures.
    • Knowledge of Medical coding documentation requirements.
    • Knowledge of medical terminology.
    • Requires travel during business hours, valid state driver's license preferred.
    • Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame.
    • Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed.
    • Demonstrates adaptability to expanded roles.

    Education:
    Diploma, certificate, or degree in medical coding and auditing.


    Preferred:

    • CPC Certification
  • The Toledo Clinic

    compliance auditor

    3 weeks ago

    The Toledo Clinic Toledo, United States Full time

    COMPLIANCE AUDITOR - SPECIAL PROJECTS - FULL TIME · Full Time Hourly 30-40 · Toledo, OH, US · 30+ days ago · Requisition ID: 3916 · General Summary: · Responsible for reviewing, analyzing, disseminating, and reporting data on chart audits as well as audit documentation require ...

  • Toledo Clinic

    compliance auditor

    3 weeks ago

    Toledo Clinic Toledo, United States Full time

    Job Description · Job Description · General Summary: · Responsible for reviewing, analyzing, disseminating, and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance. Res ...

  • Toledo Clinic

    compliance auditor

    1 week ago

    Toledo Clinic Toledo, United States Full time

    Job Description · Job DescriptionGeneral Summary: · Responsible for reviewing, analyzing, disseminating, and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance. Responsi ...

  • Toledo Clinic

    Compliance coding Auditor

    1 week ago

    Toledo Clinic Toledo, United States Full time

    General Summary · Responsible for reviewing, analyzing, disseminating and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance and the Quality and Compliance Committee. ...

  • Toledo Clinic

    compliance coding auditor

    3 weeks ago

    Toledo Clinic Toledo, United States Full time

    Job Description · Job Description · General Summary: · Responsible for reviewing, analyzing, disseminating and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance and t ...

  • Toledo Clinic

    compliance coding auditor

    1 week ago

    Toledo Clinic Toledo, United States Full time

    Job Description · Job DescriptionGeneral Summary: · Responsible for reviewing, analyzing, disseminating and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance and the Qu ...

  • Athens Services

    Contract Compliance Manager

    2 weeks ago

    Athens Services Industry, United States

    **Job Description Summary** · The Contract Compliance Manager will work as a business partner with the Sr. Contract Compliance Director and is responsible for all city compliance related duties. The Contract Compliance Manager will interact with multiple departments including gov ...

  • Tak Shing Hong Inc.

    Accounting Supervisor

    3 weeks ago

    Tak Shing Hong Inc. Industry, United States

    **Team Leadership**: Supervise and mentor a team of accountants, providing guidance, training, and performance feedback. · **Financial Reporting**: Prepare and review financial statements, reports, and analyses to ensure accuracy and compliance with GAAP (Generally Accepted Accou ...

  • FS

    Accounting Assistant

    3 weeks ago

    FS Industry, United States

    FS.COM is a leading global high-performance end-to-end cable and connectivity solutions provider. Founded in 2009 as Fiberstore, FS.COM brings a complete portfolio of products and solutions including Switches & Optics, Integrated Cabling Infrastructure, and OTN Equipment--all des ...

  • FS

    Accounting Assistant

    3 days ago

    FS Industry, United States

    FS.COM is a leading global high-performance end-to-end cable and connectivity solutions provider. Founded in 2009 as Fiberstore, FS.COM brings a complete portfolio of products and solutions including Switches & Optics, Integrated Cabling Infrastructure, and OTN Equipment--all des ...

  • The City of Toledo OH

    Tax Auditor

    2 weeks ago

    The City of Toledo OH Toledo, United States

    Under general supervision performs work of moderate difficulty in the analysis, reconciling, and auditing of city income tax returns for compliance with the city income tax ordinance; provides assistance to taxpayers; performs related work as require Tax, Auditor, Audit, Accounti ...

  • Newegg

    Internal Auditor

    1 week ago

    Newegg City of Industry, United States

    Verify proper application and compliance with the Company, regional, and local policies and procedures. Monitor the status of audit findings for appropriate resolution by the auditee. Communicate with all levels of management including presentations Internal Auditor, Auditor, Aud ...

  • ViziRecruiter

    Senior Internal Auditor

    3 weeks ago

    ViziRecruiter Toledo, United States

    We're always looking for talent that believes in having fun. At PENN Entertainment, you'll get to be a part of an exciting industry, where the days and nights are fast paced. You'll work with an incredibly diverse set of co-workers driven by their enthusiasm for helping people fi ...

  • Owens Corning Inc.

    Securities and Governance Paralegal

    3 weeks ago

    Owens Corning Inc. Toledo, United States

    PURPOSE OF THE JOB · The Securities & Governance Paralegal performs a broad range of paralegal duties for the Securities and Corporate Governance team. This role is responsible for supporting the company's strategy for corporate governance and resolving legal issues associated wi ...

  • City of Toledo

    Tax Auditor

    3 weeks ago

    City of Toledo Toledo, United States

    Tax Auditor · Print ) · Apply · Tax Auditor · Salary · $55, $58,393.92 Annually · Location · Toledo, OH · Job Type · Full-Time · Job Number · Department · Finance · Division · Taxation · Opening Date · 05/02/2024 · Closing Date · 5/15/2024 11:59 PM Eastern · + Description · + ...

  • Sedgwick

    IT Compliance Specialist Sr, GRC

    2 weeks ago

    Sedgwick Toledo, United States

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...

  • Mobis North America LLC

    ACCOUNTANT (Junior/Assistant Manager)

    1 week ago

    Mobis North America LLC Toledo, United States

    Job Description · Job DescriptionDescription:The Accountant provides accurate, timely and useful information to Management and insures accurate accounting for material and other assets of the Company. Responsibilities include Accounts Receivable, Accounts Payable, Warehousing, Bu ...

  • City of Toledo, OH

    Tax Auditor

    3 weeks ago

    City of Toledo, OH Toledo, United States

    POSITION SUMMARY: · Under general supervision performs work of moderate difficulty in the analysis, reconciling, and auditing of city income tax returns for compliance with the city income tax ordinance; provides assistance to taxpayers; performs related work as required. · ESSE ...

  • Owens Corning

    Securities and Governance Paralegal

    3 weeks ago

    Owens Corning Toledo, OH, United States

    · Securities and Governance Paralegal · Location(s): · Toledo, OH, US, · Granville, OH, US, · Columbus, OH, US · Function: · Legal · Audience: · Experienced Professional · Work Arrangement: · Hybrid · Requisition ID: · 62347 · PURPOSE OF THE JOB · The Securities & Governance P ...

  • Ciber

    Quality Supervisor

    1 day ago

    Ciber Toledo, United States

    HTC Global Services wants you. Come build new things with us and advance your career. At HTC Global you'll collaborate with experts.You'll join successful teams contributing to our clients' success.You'll work side by side with our clients and have long-term opportunities to adva ...