Compliance Auditor Analyst

Job Summary:

Position Summary:

Under the direction of the Faculty Practice Plan Compliance Officer the main duties for this position include:

analysis of professional coding and billing data

review of applicable regulations or guidelines

professional coding and billing audits of CPT and ICD 10 coding.

Duties/Responsibilities:

Analysis of coding and billing data, identification of trends and aberrations

Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, CPT and ICD 10 coding, and billing guidelines

Interpretation of coding, billing, and regulatory standards

Preparation and completion of audit reports including recommendations, education and corrective action.

Knowledge, Skills and Abilities:

Strong computer skills specifically Microsoft word and Microsoft excel applications

Strong analytical, problem-solving and time management skills

Expertise in report writing and oral communications

Ability to interpret regulations, payment and reimbursement systems, billing and coding guidelines and apply standards

Familiarity with health information and/or medical records

Able to organize work, prioritize assignments and meet deadlines

Maintains a professional and cooperative attitude with providers, co-workers and employer

Able to maintain confidentiality of all patient information and compliance related information.

Minimum Qualifications:

Associates degree and 2 years experience in healthcare setting. CCCS-P, CCCS, CPC, RHIA or RHIT required.

Preferred Qualifications:

Bachelors Degree; Coding and auditing experience preferred.

Work Days:

Monday–Friday, daytime hours. Hybrid/remote work options may be considered based on department needs and position requirements

Message to Applicants:

Our benefits package includes health, dental and vision insurance, eligibility for employer 401k funding after 1 year (3% quarterly/5% annual on vesting schedule), tuition reimbursement, generous paid time off, including vacation and personal time, paid sick leave, holidays and floating holidays.

G5: $25.10 - $42.92

Please note the salary information shown is a general guideline only. Salaries are based upon candidate skills, experience, and qualifications, as well as internal equity, market and business considerations.

Recruitment Office: MedBest Medical Management