Compliance Auditor

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Description

At SCP Health, what you do matters

As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.

Why you will love working here:

  • Strong track record of providing excellent work/life balance
  • Comprehensive benefits package and competitive compensation
  • Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.


What you'll be doing:

The Compliance Auditor reports to the Compliance Manager and is responsible for auditing billing and coding processes to ensure compliance with Medicare and other governmental payor rules and regulations.

  • Conducts regular baseline, focused, follow-up and representative sample audits as outlined in the annual audit plan.
  • Develops reports of audit findings for each audit performed.
  • Works collaboratively with other departments to gather information needed for each audit as well as to implement corrective action plans.
  • Maintains knowledgeable of all healthcare laws and regulations, including but not limited to Medicare, Medicaid and other governmental payor rules and regulations.
  • Assists with the development of policies and procedures related to auditing.
  • Assists in the implementation and maintenance of analytics and trending of audit findings.
  • Contributes to Company-wide Risk Assessment process.
  • Exhibits the Companys Core Values and complies with the Code of Conduct.


Who/What we are looking for:

  • 1-3 years of experience in compliance.
  • Billing, coding, and audit experience a plus
  • CPC/CCS preferred
  • RN or RHIA/RHIT a plus
  • Strong analytical, research and problem-solving skills. Must be able to recognize areas of the Company impacted by laws and regulations.
  • Strong knowledge base in complete and accurate clinical documentation.
  • Strong knowledge of Federal and State health care regulations.
  • The ability to accurately interpret/implement regulatory standards and legal requirements.
  • Strong verbal and written communication skills.
  • Strong computer skills (excel, and handling large data sets)
  • Ability to work independently and handle multiple tasks/projects at the same time.
  • Bachelor Degree Required


To learn more about SCP Health, please visit:
***

Join our social circle:

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SCP Health is an Equal Opportunity Employer.

INDJV
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