Regulatory Compliance Analyst
2 weeks ago
Minimum Hiring Wage:
From $52,291.20 a year
Job Details:
Scheduled Hours:
Monday - Friday, days
Occasional travel required
Job Overview:
The Compliance Analyst collaborates with healthcare providers and administrative staff to enhance the quality, adherence, completeness, and precision of medical documentation for both facility and professional interactions.
Engages in the review, development, and modification of processes, systems, and protocols to ensure alignment with billing requirements and compliance standards.
Conducts coding audits and related initiatives to uphold professional and facility coding compliance. Performs routine audits to verify coding accuracy and the sufficiency of accompanying provider documentation to meet compliance standards. Completes audit tasks and other projects as part of ethics and compliance work plans. Provides education to physicians and staff on appropriate coding and documentation standards and regulations.Exhibits a comprehensive understanding of intricate coding, reimbursement, and auditing principles as they pertain to hospital, physician practice, clinic, and hospital-based clinic environments.
Maintains communication with department leadership, physicians, and staff regarding complex coding and auditing matters and current coding regulations.
Prepares detailed reports of audit findings and meets with providers to deliver education and training on compliance with documentation and coding standards.
Trains and provides technical support to medical providers and coding leadership on compliance, documentation, regulatory provisions, and third-party requirements.
Qualifications:
Graduate of Health Information Technology program or related field
Three to Five years' experience in billing/coding utilizing ICD -9/ICD-10 and CPT codes in a medical clinic, physician's office, or health system
Certified coder with one of the following credentials: RHIA, RHIT, CPC, COC
Certified Professional Medical Auditor (CPMA), Certified Healthcare Chart Auditor (CHCA) or equivalent certification required after two years of employment
Strong computer skills and knowledge
Good understanding of medical terminology
Knowledge of laws, government regulations, CMS, and agency guidelines
Benefits:
We are pleased to offer a competitive compensation and benefits package for eligible positions, which includes:
Competitive base salary
Matching retirement plans
Health, Dental, and Vision insurance
Health Savings and Flexible Spending Accounts
Employee discounts including car rental and cell-phone plans
Employer-paid Long-Term Disability, Life, and AD&D insurance
Paid time off (PTO)
Education Assistance Program
Employee Assistance Program
Employee Referral Bonus Program
Discounted cafeteria meals
Paid Parental Leave
Employee Service Recognition program
Voluntary plans available:
Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity
Great River Health and its affiliates are Equal Opportunity employers.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
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