Clinical Compliance Auditor & Educator

San Juan Regional Medical Center; United States; Remote; USD 70,000 - 95,000; Full time

Job summary

San Juan Regional Medical Center seeks a Compliance Analyst/Auditor to serve as a regulatory clinical specialist within the Office of Compliance and Privacy. You will help manage inquiries on compliance topics, conduct research, and assist with policy development, risk assessment, auditing and education initiatives.

The role focuses on auditing/monitoring, identifying risk trends, and enhancing the compliance program while maintaining high standards of integrity and confidentiality.

Qualifications

• Bachelor’s degree and RN or other Clinical Degree; accounting/finance with clinical background may be considered.
• Minimum of three (3) years of experience in healthcare clinical compliance or auditing.
• Minimum of three (3) years of experience in coding, documentation, billing, and/or reimbursements.
• Required experience in healthcare.

Responsibilities

• Coordinate, monitor, and audit documentation and coding of inpatient and/or outpatient services.
• Analyze audit results; identify patterns, trends or variations and make recommendations for improvement.
• Review and audit coding, billing, and documentation for compliance with federal/regulatory requirements.
• Prepare audit reports and provide appropriate recommendations.
• Develop quality improvement and corrective action plans based on findings.

Skills

Analytical skills

Problem-solving

Detail oriented

Communication skills

Microsoft Office

Education

RN or clinical degree

Accounting/finance with clinical background

Tools

Microsoft Office Suite

Job description

San Juan Regional Medical Center seeks a Compliance Analyst/Auditor to serve as a regulatory clinical specialist within the Office of Compliance and Privacy. You will help manage inquiries on compliance topics, conduct research, and assist with policy development, risk assessment, auditing and education initiatives.

The role focuses on auditing/monitoring, identifying risk trends, and enhancing the compliance program while maintaining high standards of integrity and confidentiality.