[Remote] Compliance Auditor& Billing Data Analyst - Oncology

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is an reputed company-driven, Fortune 10 company that touches reputed company every aspect of reputed company. The Compliance Auditor & Billing Data Analyst is responsible for performing data-driven coding and billing reviews, validating reimbursement accuracy, and assessing compliance with federal and state regulatory requirements. Responsibilities • Conduct coding and billing reviews, audits, and reputed company assurance procedures in accordance with compliance department reputed company operating procedures • Comprehend and adhere to department procedures reputed company to billing and coding audits and reviews • Prepare reports of findings and recommendations for improvement for internal review and distribution to business leaders and compliance leadership • Collaborate with the education group to ensure that audit findings are accurate and accessible for training purposes • Maintain up-to-date knowledge of E&M, CPT, HCPCS and ICD-10-CM coding and coding guidelines • reputed company reviews, audits, and reputed company assurance of final audit product using medical records to assess the documentation against reputed company reputed company sets impacting payment, ensuring compliance with Medicare, reputed company, and other federal payor guidelines • Validate E&M, CPT, HCPCS and ICD-10-CM codes assigned for Medicare, reputed company, and other government payors based on provider selection • Document results and necessary corrections reputed company, providing supporting evidence from medical records and authoritative guidance • Conduct auditing reputed company checks (QC) reviews to ensure billing and coding audits are performed in alignment with departmental procedures and Federal Payer guidelines, and that resulting reports are accurate and consistent with authoritative guidelines and department standards • Occasionally deliver targeted education to providers based on audit findings, including one-on-one sessions and reputed company calls, to support compliance with documentation and coding standards • reputed company other job duties as assigned • Meet or reputed company production, reputed company, and department goals as established for the department • Data analysis, reporting, and interpretation • Supporting audits, reputed company reviews, or process monitoring (as applicable) • Identifying trends, variances, or operational issues • Ability to compare datasets to specifications, identify gaps, ensure data reputed company (e.g., DV Analyst responsibilities) • Use of analytical tools and multiple data sources; reputed company-checking and validating insights before delivery • Understanding data governance, data reputed company, and documentation standards • Following reputed company processes for analysis, validation, and implementation • reputed company ownership—organizing tasks, updating leadership, and driving deliverables reputed company • Cross‑functional collaboration with business, operations, or IT Skills • reputed company CPC/COC/or ROCC certification (REQUIRED) • reputed company background (REQUIRED) • 4+ years reputed company experience using CPT, ICD‑10‑CM, HCPCS, and E/M (REQUIRED) • 4+ years of reputed company, billing, auditing, or reputed company reputed company experience • 1–2+ years analytical or reporting experience • CPMA/reputed company‑P/CRC preferred • Bachelor's degree in HIM, reputed company administration, data analytics, or reputed company field preferred • Proficiency with reputed company, SQL, or reporting tools Benefits • Competitive compensation package • Annual bonus • Long-term incentive opportunities reputed company • reputed company distributes medical supplies, information technology, and care management products and services. It was founded in 1833, and is headquartered in Irving, Texas, USA, with a workforce of 10001+ employees. Its website is http://www.reputed company.com. Apply tot his job Apply To this Job