4 дня назад
Compliance Auditor
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Compliance Auditor (Healthcare Compliance): Conducting medical record, coding, documentation, and regulatory audits for healthcare clients with an accent on compliance analysis, corrective action planning, and client reporting. Focus on interpreting complex CMS, AMA, OIG, NCCI, and payer guidance, presenting defensible findings, and delivering provider education and compliance recommendations.
Company
provides valuation, strategic, and compliance services to healthcare organizations, investors, and private equity firms.
What you will do
- Conduct detailed medical record, documentation, coding, billing, reimbursement, and compliance audits.
- Apply CMS, AMA, OIG, NCCI, third-party payer, and other regulatory guidance to audit findings.
- Prepare audit reports, executive summaries, compliance recommendations, and corrective action plans.
- Present findings and recommendations to providers, administrators, attorneys, executives, clients, and internal stakeholders.
- Deliver education and training on documentation, coding, and compliance requirements.
- Support quality assurance, peer review, audit methodology development, project management, and client relationships.
Requirements
- Minimum 3 years of healthcare auditing, documentation review, compliance, regulatory, or related healthcare experience.
- Experience reviewing medical records and auditing professional coding across specialties and service settings.
- Advanced knowledge of physician documentation, E/M coding, healthcare reimbursement, compliance auditing, and regulatory requirements.
- Strong analytical, writing, communication, organization, project management, and client-service skills.
- High school diploma required; bachelor's degree preferred.
- Required certifications: Certified Professional Medical Auditor (CPMA) and Certified Professional Coder (CPC).
Nice to have
- Experience in consulting or a client-service environment.
- Certifications such as CHC, CPCO, CRC, RHIA, RHIT, or COC.
- Familiarity with AI-powered auditing and compliance tools.
Culture & Benefits
- Work with a multidisciplinary team serving a broad national healthcare client base.
- Support client engagements and special projects across physician practices, hospitals, health systems, academic medical centers, law firms, and private equity organizations.
- Operate independently while maintaining productivity, quality, deadlines, and professional client relationships.
Будьте осторожны: если работодатель просит войти в их систему, используя iCloud/Google, прислать код/пароль, запустить код/ПО, не делайте этого - это мошенники. Обязательно жмите "Пожаловаться" или пишите в поддержку. Подробнее в гайде →
Похожие вакансии
10 дней назад
Regulatory Compliance Specialist (Healthcare)
50 000 - 65 000$
5 дней назад
Compliance Auditor Senior
6 дней назад
Creative Quality & Compliance Specialist (Healthcare)
Block
4 дня назад
Compliance Issues Management Oversight Lead
136 000 - 245 000$
6 дней назад
DTE Audit & Compliance Manager (Sr. Principal Analyst) (GxP)
164 400 - 246 600$
6 дней назад