Revenue Compliance Auditor

Revenue Compliance Auditor

Work where every moment matters.

Every day, more than 30,000 Hartford HealthCare colleagues come to work with one thing in common : pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.

The Revenue Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient and outpatient), home health and skilled nursing facilities. The Revenue Compliance Auditor may be asked to assist in other compliance audits from time to time at the direction of his / her manager or OCI leadership. Responsibilities include but, are not limited to the following :

• Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director.
• Maintains organized files to support audit observations and drafts related audit reports in accordance with agreed upon standards in a timely manner.
• Collaborates with business owner to develop agreed-upon action plans to address findings identified during an audit.
• Communicates audit results and corrective action plans to audit stakeholders. Monitors progress of corrective actions and provides status reports to leadership. Independently validates that corrective action plans are implemented as intended.
• Stays up to date on documentation, coding and billing regulations and requirements via professional organizations and through independent research and education on payor rules, requirements and regulatory guidelines (HHS / OIG, Medicare, Medicaid, NGS, Commercial Insurers, etc).
• Assists with review and / or investigation of Compliance Line reports as requested by the Manager or Director.
• Assists with the development and revision of HHC and Department Policies and Procedures.
• Participates in the annual and ongoing risk assessments to develop and revise the Revenue Compliance Work Plan.

Qualifications

Bachelor's Degree Required

A minimum of two (2) years of health care compliance experience, preferably in a large Healthcare system setting or in a consulting capacity.

Strong Excel skills, including the ability to organize data, enter formulas, and create reports

Excellent verbal and written communication skills

Strong general technology knowledge

Proven ability to provide support to multiple users with varying needs

Proven experience building and maintaining relationships

Strong attention to detail and advanced organizational skills

Proven ability to handle multiple tasks at once

Proven analytical problem solver

Strong organizational skills with the ability to successfully manage multiple priorities

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure work / life balance. Every moment matters. And this is your moment.