Senior Hospital Compliance Specialist

2 weeks ago


Santa Monica, California, United States Compu-Vision Consulting Full time
Senior Hospital Auditor and Trainer

Compu-Vision Consulting is seeking a highly skilled Senior Hospital Auditor and Trainer to join our team. As a key member of our Office of Compliance Services (OCS), you will be responsible for collecting, collating, and analyzing hospital data to identify compliance risks or areas of potential non-compliance.

Key Responsibilities:
  • Develop and implement audit tools to perform various types of hospital compliance audits
  • Provide coding, billing, and other compliance audits as directed
  • Analyze and summarize audit findings in a clear and precise manner
  • Act as an expert-level liaison for hospital compliance queries, conducting thorough and accurate research
  • Provide training and education to the Health workforce on hospital compliance issues
Requirements:
  • 5+ years' experience in a hospital coding, billing, utilization review, compliance, and/or related environment
  • Working knowledge of hospital coding and billing principles and practices, including ICD-10-PCS, ICD-10-CM, and CPT diagnostic and procedure codes
  • Experience reading, comprehending, and implementing state and federal regulations, payer program memoranda, and other complex, technical, and/or legal documents
  • Experience reviewing, analyzing, and summarizing data in Excel and PowerPoint
Preferred Qualifications:
  • Bachelor's degree or equivalent combination of education and experience
  • Certifications in RHIA, RHIT, or CCS by time of hire


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