Compliance Auditor
Found in: Talent US C2 - 2 weeks ago
Description
At SCP Health, what you do matters As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care. Why you will love working here: Strong track record of providing excellent work/life balance Comprehensive benefits package and competitive compensation Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect. What you’ll be doing: The Compliance Auditor reports to the Compliance Manager and is responsible for auditing billing and coding processes to ensure compliance with Medicare and other governmental payor rules and regulations. Conducts regular baseline, focused, follow-up and representative sample audits as outlined in the annual audit plan. Develops reports of audit findings for each audit performed. Works collaboratively with other departments to gather information needed for each audit as well as to implement corrective action plans. Maintains knowledgeable of all healthcare laws and regulations, including but not limited to Medicare, Medicaid and other governmental payor rules and regulations. Assists with the development of policies and procedures related to auditing. Assists in the implementation and maintenance of analytics and trending of audit findings. Contributes to Company-wide Risk Assessment process. Exhibits the Companys Core Values and complies with the Code of Conduct. Who/What we are looking for: 1-3 years of experience in compliance. Billing, coding, and audit experience a plus CPC/CCS preferred RN or RHIA/RHIT a plus Strong analytical, research and problem-solving skills. Must be able to recognize areas of the Company impacted by laws and regulations. Strong knowledge base in complete and accurate clinical documentation. Strong knowledge of Federal and State health care regulations. The ability to accurately interpret/implement regulatory standards and legal requirements. Strong verbal and written communication skills. Strong computer skills (excel, and handling large data sets) Ability to work independently and handle multiple tasks/projects at the same time. Bachelor Degree Required To learn more about SCP Health, please visit: / Join our social circle: SCP Health is an Equal Opportunity Employer.INDJV
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