Geisinger
Compliance Auditor Senior - Healthcare Legal and Regulatory (Eastern United States resident)
6 days agoWhat's your preference?
Job Description
- Req#: R-88272
Employer Industry: Healthcare Compliance
Why Consider this Job Opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely from the comfort of your home in Pennsylvania
- Comprehensive healthcare benefits available from day one, including vision and dental coverage
- Supportive and collaborative work environment that values diversity and inclusion
- Competitive salary with the potential for bonuses
What to Expect (Job Responsibilities):
- Conduct scheduled and unplanned audits on medical record documentation to ensure compliance with coding and billing requirements
- Mentor and provide guidance to Compliance Auditors while performing quality assurance on peer work products
- Lead compliance education initiatives for facility and professional billing, including audit feedback sessions
- Develop and implement corrective action plans following root cause analyses of compliance issues
- Prepare responses for governmental audits and manage the appeals process for findings
What is Required (Qualifications):
- Minimum educational requirement: Associate's Degree in a related field
- Minimum of 7 years of related work experience
- Certification in one of the following: CCS, CPC, RHIA, RHIT, or CPMA
- Strong communication and critical thinking skills
- Proficiency in medical billing and coding practices
How to Stand Out (Preferred Qualifications):
- Experience in conducting compliance audits in a healthcare setting
- Familiarity with federal payor billing compliance guidelines
- Previous experience in training and educating staff on compliance matters
- Ability to perform root cause analyses and develop improvement plans
#HealthcareCompliance #RemoteWork #CareerAdvancement #DiversityInclusion #HealthcareBenefits
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