Compliance Auditor

Company: Central California Faculty Medical Group Inc
Location: Fresno
Posted on: April 2, 2021

Job Description:

Description: Department: ComplianceNumber of Hires: 1FLSA status: ExemptRemote: NOCompliance Department Support--- Assists the Compliance Officer with the development, oversight, and monitoring of the compliance program. This includes the development and maintenance of policies and procedures related to compliant documentation, coding, and billing. --- Reviews local, state, and government regulations to ensure ongoing compliance. Revenue Cycle Support--- Assists departments and managers in the review of the charges entered for services rendered within their specific service areas. --- Performs analyses of the coding and charge capture process for assigned areas and prepares reports documenting findings; identifies process issues and educational needs (e.g. late charges, levels of service), communicates these issues to the department manager and assists appropriate personnel in the development of corrective action plans --- Assists in the development of charge sheets and other forms to assist department personnel in documentation and charge capture for services rendered --- Regularly meets with the billing team to review claim issues and assists in the development of corrective action plans --- Assists in preparation of and reviews all requests for additions and revisions to superbills and charge sheets for compliance, completeness, and accuracy. . Requirements: Education and Communication--- Responds promptly to inquiries, concerns and problems related to documentation and coding. --- Provide guidance to departmental personnel on coding and compliance issues --- Maintains a positive dialogue and collaborative working environment. --- Provides support to departments on special projects related to improving revenue. --- Identifies process issues and makes recommendations to become more accurate and efficient. --- Reviews with managers any issues which may lead to non-compliance or reduced reimbursement. Education:--- BA/BS in healthcare field preferred, but not required.Experience:--- Minimum two years of applicable healthcare audit experience; Clinical or HIM background desired.--- Competent use of Coding Encoder Software, and Electronic Health Records Software desired.Certifications - Licensure:--- Certified Professional CoderCCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and (3) Employment History. CCFMG participates in eVerify. PM20

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Keywords: Central California Faculty Medical Group Inc, Fresno , Compliance Auditor, Accounting, Auditing , Fresno, California