Compliance Auditor

3 weeks ago


Newark, Ohio, United States LMHS Full time
Compliance Auditor Job Summary

Licking Memorial Health Systems (LMHS) is a leading non-profit healthcare organization dedicated to improving the health and well-being of our community. As a Compliance Auditor, you will play a vital role in ensuring the organization's compliance with state and federal regulations.

Key Responsibilities:
  • Conduct internal audits to ensure consistency with federal and state laws, including compliance with CMS, OIG, ODH, ODM, and RAC.
  • Communicate with external agencies regarding audits and provide consultation on process improvement principles.
  • Assist in resolving case or system failures and provide expertise on Medicare and Medicaid regulations and billing practices.
  • Collaborate with multi-disciplinary groups, including physicians, nurses, and other healthcare professionals.
  • Research regulations and develop well-reasoned solutions based on official resources.
Requirements:
  • Licensed Practical Nurse (LPN), Registered Nurse (RN), or bachelor's prepared individual with significant healthcare and auditing experience.
  • A minimum of three to five years in a healthcare setting.
  • Knowledge of Medicare/Medicaid laws and regulations.
  • Superior interpersonal, analytical, and computer skills, as well as the ability to work independently.

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 based on race, religion, color, sex, national origin, age, disability, or other non-merit based factors protected by law.


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