Clinical Compliance Auditor: Coding & Quality Assurance

Jefferson Health; Philadelphia (Philadelphia County); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Tuition assistance

Retirement plans

Flexible spending accounts

Job summary

A healthcare provider in Philadelphia is seeking a Compliance Auditor to monitor and enhance the quality of clinical and financial documentation. The role involves auditing clinical records for compliance, preparing reports, and developing audit processes. Candidates should have a bachelor's degree in Health Information Management and at least three years of experience in coding and compliance audits. This full-time position offers competitive benefits and opportunities for professional growth.

Qualifications

• Bachelor's degree in Health Information Management or related field.
• Minimum of three years experience in coding, reimbursement, and regulatory compliance audits.

Responsibilities

• Conduct audits of clinical documentation for billing and coding accuracy.
• Evaluate coding performance and prepare reports for Compliance Educators.
• Develop audit processes and conduct risk analysis for audit requests.

Skills

Clinical expertise

Billing knowledge

Analytical skills

Communication skills

Education

Bachelor's degree in Health Information Management

Tools

Epic

Job description

A healthcare provider in Philadelphia is seeking a Compliance Auditor to monitor and enhance the quality of clinical and financial documentation. The role involves auditing clinical records for compliance, preparing reports, and developing audit processes. Candidates should have a bachelor's degree in Health Information Management and at least three years of experience in coding and compliance audits. This full-time position offers competitive benefits and opportunities for professional growth.