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Compliance Auditor 1-Physician
2 months ago
Shared Services: Compliance (Full-Time, Day Shift) -
Job Summary: The Compliance Auditor 1-Physician monitors and audits established mechanisms and controls to ensure compliance with regulations. Audits the activities of various departments for compliance with plans, policies and procedures prescribed by management. Prepares and submits reports on the results of audits, recommending improvements in policies and procedures. Cooperates with outside auditors in any undertaking that may expedite their work. Performs other duties as needed.
Education and Experience: Associate*s Degree required. Bachelor's Degree preferred. Minimum two years of experience in auditing within healthcare, compliance or regulatory oversight agency, quality management, quality assurance or business analysis required. Experience may be considered in lieu of degree.
Knowledge and Skills: Basic understanding of Physician-based audits/projects required. Working knowledge of compliance issues related to CMS and OIG pronouncements. Able to write and speak with professional quality; use computer and software programs necessary to the position, e.g., Word, Excel, Power Point, Access. Must possess pertinent skills with respect to preparing and delivering verbal and written presentations, including English language skills. Highly functional and well-demonstrated process skills. Demonstrated flexibility in project and initiative management, ensuring the timely completion of required work in conjunction with constantly moving deadlines and multiple priorities. Excellent verbal, written, and interpersonal skills required. Able to demonstrate diplomacy, tact, a professional demeanor and able to relate to people of diverse demographic backgrounds. Committed to continuous quality improvement in systems, processes and performance; consistently exercises a learning attitude and approach to all duties; Work calmly and respond courteously when under pressure; team oriented. Able to avoid conflicts of interest and maintain confidentiality at all times. Able to demonstrate problem solving and reasoning skills. Able to analyze and synthesize data. Able to work independently and collaboratively with others. Able to handle pressure, deadlines and interruptions. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: Certification in Certified Professional Coder (CPC) or Certified Coding Specialist-Physician-based (CCS-P) required. Valid Driver's License required at time of hire.
