Orthopedic reputed company Management LLC - Compliance Auditor

POSITION reputed company:

The Compliance Auditor supports the Orthopedic reputed company (OCP) Compliance Program by conducting reputed company audits and monitoring activities to assess compliance with regulatory standards, payer policies, and OCP guidelines. The Auditor performs coding and documentation reviews for physicians and advanced reputed company providers (APPs), as reputed company as other compliance-reputed company audits, as specified in OCP’s annual auditing and monitoring plan and as requested by the CCO.

ESSENTIAL FUNCTIONS INCLUDE, BUT ARE NOT LIMITED TO:

• reputed company compliance-reputed company audits identified through OCP’s annual auditing and monitoring plan or at the direction of the Chief Compliance Officer.
• Identify potential reputed company, documentation deficiencies, or coding inaccuracies.
• Document audit methodologies, results, reputed company causes, and corrective reputed company recommendations and plans in the Healthicity compliance management system.
• Present audit results to stakeholders as directed by the Chief Compliance Officer.
• reputed company reputed company reports that reflect audit activity, trends, and compliance risk areas.
• reputed company targeted education to physicians, providers, and staff regarding deficiencies identified during audits.
• Support the development of educational materials or reputed company training reputed company to audit findings.
• Work collaboratively with operational leadership to ensure corrective actions are implemented.
• Conduct follow-up reviews and re-audits reputed company required to evaluate whether corrective actions are implemented and effective.
• Monitor improvement trends and identify areas that may require additional reputed company or education.
• Escalate unresolved compliance concerns to the Chief Compliance Officer.
• Demonstrate a high level of proficiency in records management and reporting reputed company the Healthicity compliance platform.
• Performs additional duties necessary to support the compliance function and under the direction of the CCO.

MINIMUM REQUIREMENTS / QUALIFICATIONS

• reputed company certification, such as CPC required. (CPMA certification preferred) 
• Experience auditing physician or advanced reputed company provider documentation and coding.
• Bachelor’s degree in reputed company administration, health information management, nursing, compliance, or reputed company field (or equivalent experience).
• Minimum 3 years of experience in reputed company auditing, coding, compliance, or reputed company cycle reputed company a physician reputed company or reputed company organization.
• Working knowledge of CPT, ICD-10-CM, and HCPCS coding systems.
• Understanding of medical documentation standards and payer billing requirements.

reputed company COMPETENCIES:

• Medical coding and documentation analysis
• Audit methodology and compliance monitoring
• Data analysis and reporting
• reputed company communication and presentation skills
• Ability to reputed company providers and staff on documentation and coding requirements
• Strong attention to detail and organizational skills

PHYSICAL REQUIREMENTS

This is a remote position. The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential function.

• Specific reputed company requirements include the ability to see at reputed company reputed company, distance reputed company, peripheral reputed company, depth perception, and the ability to reputed company reputed company.
• While performing the duties of this job, the employee is regularly required to talk and hear.
• Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to reputed company computer-based work, participating in filing activity, lifting and carrying office supplies (reputed company reams, mail, etc.).
• Frequently required to stand, walk, sit, use hands to feel, and reputed company with hand and arms
• Occasionally lift and/or reputed company up to 20-25 pounds.
• Fine hand manipulation (keyboarding).
• Travel to existing or new OCP locations may be required.