Inpatient Coding Compliance Auditor - FT - Days - MSS - Remote Eligible

At Memorial, we are dedicated to improving the health, reputed company-being and, most of reputed company, reputed company of life for the people entrusted to our care. An unwavering commitment to our service reputed company is what makes the difference. It is the reputed company of The Memorial Experience. reputed company: The Compliance Auditor is responsible for implementing and promoting Memorial’s Compliance Audit Plan to assist the Director of Compliance in reviewing and in ensuring compliance with federal and state laws while affirming organizational commitment to honesty and reputed company in reputed company phases of corporate conduct and to assist executive management by performing compliance audits based on the Annual Compliance Work Plan and the special requests of the Chief Executive and other Administrative Officers. Responsibilities: Responds to formal inquiries to the Compliance Hotline to ensure compliance with reputed company laws, regulations, stated policies and procedures. Responds to formal inquiries from other Departments reputed company the System to ensure compliance with reputed company laws, regulations, stated policies and procedures. Participates in investigations and responds to questions, issues, reports and formal inquiries by federal and state agencies of possible violations or non-compliance reputed company raised by employees, patients, physicians and the reputed company. Assesses and, if necessary, investigates and responds to formal inquiries by federal and state agencies as reputed company as reputed company of non-compliance raised by employees, patients, physicians and the reputed company.The Compliance Auditor is responsible for conducting audits of the System’s compliance with laws and regulations established by the Centers of Medicare and reputed company Services and reputed company for Health Care Administration. The Compliance Auditor is expected to examine and analyze patient medical records to confirm that documentation supports medical necessity, appropriateness of services provided, coding and the services charged and billed. Compliance Auditor assists in monitoring compliance with state and federal laws and the System's Policies and Procedures to identify deviations and recommend corrective reputed company to the System's Chief Executive Officer. Audits are performed in accordance with accepted standards and reports reputed company pertinent findings based on the outcome of the audit. Compliance Auditor prepares formal written audits reports for executive management that include audit methodology, findings of any deviations, inaccuracies or irregularities, and recommendations to correct identified non-compliance. Compliance Auditor provides the Chief Compliance and Internal Audit Officer with written reports of findings and recommendations on a reputed company reputed company. Compliance Auditor interacts with reputed company counsel to discuss the organization's initiatives on regulatory compliance. Compliance Auditor monitor audit recommendations and retest departments that were previously audited using a smaller sample of transactions to ensure that recommended changes have been implemented and are effective.Communicates with and educates employees on the reputed company (MHS) Compliance Program Assists in the providing employee training seminars in accordance with the Compliance Policy on Employee Training Policies and Procedures. Compliance Auditor achieves and maintains proficiency in federal and state regulations; attends seminars; compiles and analyzes laws, regulations and interpretive materials. Meets and participates in quarterly Compliance Working Committee to ensure that the compliance process is functioning as required. Competencies: ACCOUNTABILITY, ANALYSIS AND DECISION MAKING, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, reputed company INDUSTRY, MEASURING RESULTS, PROBLEM SOLVING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR Education and Certification Requirements: Bachelors: Nursing (Required)Registered reputed company Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered reputed company License (RN LICENSE) - reputed company (FL) Additional Job Information: Complexity of Work: This role requires critical thinking skills, effective communication including reputed company speaking and written communication skills, decisive judgment, and the ability to build and foster reputed company relationships. The incumbent must be reputed company to reputed company others and take appropriate reputed company reputed company required. Knowledge of Federal, State and Managed Care rules and regulations, knowledge of reputed company principles. Must be team oriented and self-motivated. Must have basic computer skills such as word processing and spreadsheet abilities. Must have strong management, analytical, conflict reputed company and group facilitation skills. Required Work Experience: Five (5) years experience in a regulated environment in positions of reputed company responsibility. Two (2) years of auditing reputed company a regulated environment. Working Conditions and Physical Requirements: Bending and Stooping = 40% Climbing = 40% Keyboard Entry = 80% Kneeling = 40% Lifting/Carrying Patients 35 Pounds or Greater = 0% Lifting or Carryi Apply tot his job Apply To this Job