Compliance Auditor Analyst

Job Summary:

Position Summary:
Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional coding and billing audits.

Duties/Responsibilities:
Analysis of coding and billing data, identification of trends and aberrations.
Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing guidelines. Interpretation of coding, billing, and regulatory standards. Preparation and completion of audit reports including recommendations, education and corrective action.

Knowledge, Skills and Abilities: Strong computer skills specifically Microsoft word and Microsoft excel applications. Strong analytical, problem-solving and time management skills. Expertise in report writing and oral communications. Ability to interpret regulations, payment and reimbursement systems, billing and coding guidelines and apply standards. Familiarity with health information and/or medical records. Able to organize work, prioritize assignments and meet deadlines. Maintains a professional and cooperative attitude with providers, co-workers and employer. Able to maintain confidentiality of all patient information and compliance related information.

Minimum Qualifications:

Associates degree and 2 years experience in healthcare setting. CCCS-P, CCCS, CPC, RHIA or RHIT required.

Preferred Qualifications:

Bachelors Degree; Coding and auditing experience preferred.

Work Days:

Monday - Friday daytime hours