Healthcare Compliance Audit Analyst
New
U
U.S. Urology PartnersHealthcare compliance
This is a remote position. Candidate must be located in the Eastern United States.Full-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- Minimum of three years of experience in healthcare compliance, healthcare operations, coding and/or documentation auditing in a healthcare organization is preferred.
- Required Skills
- Microsoft AccessMicrosoft Excel
Requirements
- Hold a CPC, CCS-P, or CPMA certification.
- Have a bachelor's degree in health administration, health information management, or a related field; this is preferred.
- Have at least three years of experience in healthcare compliance, healthcare operations, coding, and/or documentation auditing in a healthcare organization; this is preferred.
- Have experience using and navigating an electronic medical record system.
- Know state, federal, local, and payer-specific regulations and policies for documentation, coding, and billing.
- Be able to work independently in an organized, detail-oriented manner and collaboratively with a team.
- Be able to develop reports, presentations, and spreadsheets.
- Have strong computer skills, including Microsoft Word, Excel, Outlook, PowerPoint, and Access.
- Have strong verbal and written communication skills.
- Be able to handle complex organizational projects and identify and solve difficult issues.
- Be willing to travel as needed.
- Work Monday through Friday, typically from 8:30 a.m. to 5:00 p.m.; coverage may be requested when business hours are extended.
Responsibilities
- Conduct physician/provider and facility documentation audits.
- Maintain accurate data in the Compliance Department Internal Audit Database and prepare reports for audited providers and organizational leadership.
- Analyze audit data and provide summary feedback and recommendations to clinic and billing staff.
- Work with billing and coding departments to determine charge corrections and refunds resulting from compliance audits.
- Help minimize denial issues and respond to billing department requests for audit, documentation, and coding reviews.
- Research billing and coding scenarios and contribute to improvements in audit procedures.
- Assist with education sessions for physicians, non-physician providers, and staff.
- Develop guidance, communication, and educational materials based on audit findings and recurring questions or issues.
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