Compliance Auditor and Educator

2 weeks ago

Champaign, United States Christie Clinic Full time

Christie Clinic's department of Compliance Quality is seeking a full-time Compliance Auditor and Educator from Monday - Friday, 8:00am - 5:00pm at our Clark St. location in Champaign.

Duties include performing ongoing functions related to quality of care and compliance including government and clinic regulations and policies in support of the Christie Clinic Compliance System. The ideal applicant must have a current CPC credential and at least 1 year of current work experience in coding and/or auditing.

TYPICAL PHYSICAL DEMANDS:

Demands include sitting, standing, walking, bending, stooping, stretching, and lifting up to 20 pounds. Hearing within, or correctable to, normal range, vision correctable to 20/20 and manual dexterity for the operation of office equipment is required.

TYPICAL WORKING CONDITIONS:

Work is performed in an office environment and involves frequent contact with staff, providers, and outside individuals.

JOB DUTIES: (This list may not include all of the duties assigned.)

  • Screen, review, identify and document potential quality and compliance issues.
  • Perform billing and coding audits with both random samples as well as provider and department specific samples; and as required.
  • Meet with providers to share audit results and guidance for accuracy rate improvement.
  • Prepare educational materials specific to new provider's specialty and assist with orientation sessions.
  • Review new providers' daily charges and offer feedback.
  • Notify providers of CPT and diagnosis coding changes.
  • Maintain communication logs on all providers to document interactions, educational exchanges, and other feedback.
  • Compile, analyze and summarize data in written reports and prepare recommendations for corrective action and quality improvement.
  • Participate in professional development efforts to remain current in health care practices and trends related to documentation quality improvement and compliance with state and federal regulations.
  • Develop educational programs on coding, documentation quality and compliance guidelines, as required.
  • Research the Internet, newsletters and professional journals for compliance and quality issues facing a physician practice. Disseminate information to clinical staff, as appropriate.
  • Maintain record of training and education.
  • Conduct documentation quality and compliance education.
  • Perform related work as required.
Requirements:
  • Evidence of annual completion of related courses and/or seminars with a certificate and/or CEU's for each credential
  • 2ndry credential (CPMA, CRC, or CDEO) must be earned within 2 years
  • Certified Healthcare Auditor certificate or equivalent


Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

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