Geisinger
Compliance Auditor Senior - Healthcare Legal and Regulatory (Eastern United States resident)
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Job Description
- Req#: R-88272
Employer Industry: Healthcare Compliance
Why consider this job opportunity:
- Competitive salary and healthcare benefits from day one, including vision and dental coverage
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment that values kindness and excellence
- Work remotely from Pennsylvania, offering flexibility in your work-life balance
- Chance to mentor and educate others within the compliance team
What to Expect (Job Responsibilities):
- Conduct scheduled facility and professional audits to ensure compliance with medical record documentation and billing standards
- Perform audits resulting from unplanned investigations and provide feedback to peers
- Lead compliance education initiatives for facility and professional billing, including auditing and coding
- Develop and implement corrective action plans based on root cause analysis of compliance issues
- Prepare responses to governmental audits and manage the appeals process
What is Required (Qualifications):
- Associate's Degree in a related field of study
- Minimum of 7 years of related work experience
- One of the following coding or auditing certifications: CCS, CPC, RHIA, RHIT, or CPMA
- Strong communication and critical thinking skills
- Experience in medical billing and coding, as well as training and education
How to Stand Out (Preferred Qualifications):
- Additional certifications in healthcare compliance or auditing
- Experience conducting audits in a healthcare setting
- Proven ability to lead and mentor junior compliance staff
- Familiarity with federal payor billing compliance regulations
- Experience in root cause analysis and corrective action planning
#HealthcareCompliance #CareerOpportunity #RemoteWork #Mentorship #HealthcareQuality
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Geisinger is a health and wellness organization focused on making better health easier for our communities through primary care, specialty medicine, hospitals, clinics, health insurance, medical education and research.
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