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OHHP Compliance Auditor

OHHP Compliance Auditor

Oklahoma Heart HospitalOklahoma City, OK, United States
5 days ago
Job type
  • Full-time
Job description

Overview

Join Our Team at Oklahoma Heart Hospital (OHH)

ONE TEAM. ALL HEART. At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients' journeys, bringing hope, compassion, and healing to both patients and their families. Together with our physicians and caregivers, we're shaping the future of heart care in Oklahoma by serving the state and leading the nation.

Why You'll Love Working Here :

  • Comprehensive Benefits :

Medical, Dental, and Vision coverage

  • 401(k) plan with employer match
  • Long-term and short-term disability
  • Employee Assistance Programs (EAP)
  • Paid Time Off (PTO)
  • Extended Medical Benefits (EMB)
  • Opportunities for continuing education and professional growth
  • Please note that benefits may vary by position, and some roles (like PRN, Flex, Float, etc.) may have exclusions. For eligible positions, benefits start on your first day!

    We can't wait for you to join our heart-centered team!

    Location : 7800 NW 85th Terrace, Oklahoma City, OK 73132

    Shift : Full-Time, Days, Monday-Friday.

    Responsibilities

    The OHHP Compliance Auditor will conduct internal monitoring and chart auditing of physicians and non-physician staff for compliance with federal coding regulations and guidelines. Reviews, develops and / or modifies procedures, systems and protocols to achieve and maintain compatibility with billing and compliance standards. Provide appropriate training and education on coding and compliance. Works closely with various departments and staff to provide direction in documentation and coding compliance. Also, may participate in OHHP Compliance Committee.

  • Performs written and oral reports to physician on audits as assigned
  • Evaluates new CPT codes and any changes to Medicare policies affecting reimbursement and compliance.
  • Assists in researching and identifying coding issues
  • Continue to acquire knowledge of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation
  • Communicate coding and billing policy and procedures to physician and support staff and makes self-available for questions when needed
  • Qualifications

    Licensure : CPC required. CCS-P, RHIT, RHIA a plus.

    Experience : Minimum of five years' experience in auditing and / or coding. Must be familiar with CMS and other third-party billing rules and regulations.

    Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.

    Learn more about diversity at Oklahoma Heart Hospital.

    As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care. Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.

    The OHHP Compliance Auditor will conduct internal monitoring and chart auditing of physicians and non-physician staff for compliance with federal coding regulations and guidelines. Reviews, develops and / or modifies procedures, systems and protocols to achieve and maintain compatibility with billing and compliance standards. Provide appropriate training and education on coding and compliance. Works closely with various departments and staff to provide direction in documentation and coding compliance. Also, may participate in OHHP Compliance Committee.

  • Performs written and oral reports to physician on audits as assigned
  • Evaluates new CPT codes and any changes to Medicare policies affecting reimbursement and compliance.
  • Assists in researching and identifying coding issues
  • Continue to acquire knowledge of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation
  • Communicate coding and billing policy and procedures to physician and support staff and makes self-available for questions when needed
  • Licensure : CPC required. CCS-P, RHIT, RHIA a plus.

    Experience : Minimum of five years' experience in auditing and / or coding. Must be familiar with CMS and other third-party billing rules and regulations.

    Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.

    Learn more about diversity at Oklahoma Heart Hospital.

    As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care. Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.

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    Compliance Auditor • Oklahoma City, OK, United States

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