Compliance Auditor for Healthcare Services
2 weeks ago
Regulatory Auditor - Remote Opportunity
MedStar Health is seeking a skilled Regulatory Auditor to enhance our operations. The preferred candidate will possess a CPC Medical Coder certification and demonstrate the capability to operate autonomously in a dynamic setting. While this role supports remote work, candidates from the DMV Area (Washington DC, Maryland, Virginia) are highly regarded.
In the capacity of a Regulatory Auditor, your primary responsibilities will include overseeing and applying regulatory directives from both governmental and commercial payers. Your role will encompass ensuring adherence to all regulatory standards, managing necessary modifications, and supporting audit inquiries. Furthermore, you will be tasked with creating educational resources aimed at fostering precision in medical documentation, coding, and billing practices.
Core Responsibilities
- Review Federal and State program advisories to guarantee compliance
- Relay updates in the regulatory landscape to relevant departments
- Assist in the preparation of responses to payer audits
- Detect areas of regulatory vulnerability and implement appropriate adjustments
- Compile reports that outline regulations and payer interactions
Qualifications
- Bachelor's degree in health or business administration is preferred
- 3-4 years of experience in healthcare management or a related discipline
- Exceptional project management and communication abilities
- Familiarity with healthcare compliance, CMS billing regulations, and regulatory law
- Capacity to thrive in a deadline-oriented environment
This position provides a competitive salary range of $63,000 - $107,411.20.
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