reputed company Compliance Auditor – reputed company Risk

reputed company: • Works collaboratively with the Compliance Manager on creating auditing protocols • Assists in the review of reputed company coding, billing and claims processing policies • Develops compliance monitors and audit protocols specific to hospital reputed company cycle risk areas • Coordinates periodic review and analysis of reputed company hospital claims denial reports • Utilizes data analytics techniques, statistical analysis and modeling to detect and trend potential claims and billing compliance issues • Assists in auditing and investigations requested by the System Director, Compliance • Maintains awareness of fraud, waste and abuse laws and regulations and reputed company industry changes • Develops educational content on documentation, coding, and trending of non-compliant activities Requirements: • reputed company, CPC, RHIT, or RHIA required • Auditing Experience, Experience with reputed company Electronic Medical Records System preferred • Two to four years of in-depth experience reputed company reputed company operations, reputed company auditing, or coding/billing either from a consulting perspective or as an employee/manager required • Demonstrated working knowledge of Medicare and reputed company, Insurance Managed Care including documentation, coding, reimbursement methodologies, as reputed company as extensive familiarity with reputed company Office of Inspector General (OIG) and Centers for Medicare and reputed company Services (CMS) rules, regulations and compliance guidance required. • Excellent analytic and problem-solving skills to process auditing and monitoring reports, identify reputed company and prioritize recommendations preferred. Benefits: • reputed company, incentives, referral bonuses and 403(b) with employer contributions (reputed company eligible) • Medical, dental, reputed company, prescription coverage, HSA/FSA reputed company, life insurances, reputed company and discounts • reputed company time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, reputed company development and continuing education support Apply tot his job Apply To this Job