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Compliance Auditor
2 months ago
Licking Memorial Health Systems (LMHS) is a leading non-profit healthcare organization dedicated to improving the health and well-being of our community.
We are seeking a highly skilled Compliance Auditor to join our team. As a Compliance Auditor, you will be responsible for ensuring the compliance of our physician corporation coding and documentation practices with federal and state laws.
Key Responsibilities:- Conduct internal audits and monitoring of procedure and diagnosis coding to ensure consistency with federal and state law.
- Collaborate with other departments as needed to ensure compliance and accuracy.
- Responsible for auditing charge capture process, coding and billing processes, and assisting in resolution of case or system failures.
- Provide consultation in the application of process improvement principles as they relate to the results of the compliance audit functions and findings.
- Provide expertise to departmental personnel and medical staff in the areas of coding, billing, and compliance with applicable input from the Corporate Compliance staff.
- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Bachelor prepared individual with significant coding and auditing skills.
- A minimum of three to five years in a healthcare setting with physician billing, coding, and/or reimbursement responsibilities.
- Work requires a comprehensive knowledge of coding (ICD-10-CM and CPT) and HCFA-1500 billing requirements for Medicare, Medicaid, and third-party payers.
- Use of personal computers, including application of Microsoft programs, especially Excel and Word.
- Excellent communication skills at all levels of the organization, including staff, management, and medical staff.
- Self-directed work habits, attention to detail, and ability to independently manage audit project schedules.
Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations. We do not discriminate against applicants because of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors protected by law.
