Healthcare Compliance Auditor

A company is looking for a Healthcare Compliance Auditor - Enterprise Risk.

Key Responsibilities

Assist in reviewing coding, billing, and claims processing policies to develop compliance monitors and audit protocols

Coordinate analysis of claims denial reports and operational assessments to detect billing trends and compliance issues

Develop educational content on documentation and coding to enhance compliance understanding and competency

Required Qualifications

CCS, CPC, RHIT, or RHIA certification required

Two to four years of experience in healthcare operations, auditing, or coding / billing

Knowledge of Medicare, Medicaid, and Insurance Managed Care regulations required

Experience with EPIC Electronic Medical Records System preferred

Demonstrated analytic skills for processing auditing and monitoring reports