Compliance Auditor

DaMar Staffing; Cherry Hill Township (NJ); On-site; USD 60,000 - 74,000; Full time

Benefits offered by this job

Benefits

Job summary

DaMar Staffing seeks a Compliance Auditor to support the corporate compliance program in the Cherry Hill, NJ area. The role focuses on audits of billing, coding, and documentation to ensure regulatory compliance and organizational integrity, with a competitive salary and benefits.

This on-site position excludes remote work. The ideal candidate holds a healthcare or business degree, demonstrates strong communication and analytical abilities, and can develop policies, procedures, and guidance to

Qualifications

• Degree in healthcare or business major from an accredited program, or equivalent experience.
• Excellent oral and written communication skills.
• Excellent organizational and analytical abilities.
• Conflict resolution skills.

Responsibilities

• Conduct audits of inpatient and outpatient hospital regulatory requirements, including billing, coding, and documentation, to determine the integrity of billing and related processes.
• Prepare scope of work for reviews/audits.
• Review available documentation for compliance.
• Assist in developing policies and procedures establishing standards for compliance and guidance for providers and staff.
• Serve as subject matter expert on interpretation and application of documentation and coding rules and regulations.
• Analyze audit data and prepare reports with recommendations for improvement for management and departments.
• Determine charge corrections and refunds resulting from compliance reviews and ensure completion.
• Perform follow-up reviews when necessary.
• Maintain work papers in accordance with regulations/policy (paper or electronic).
• Provide post-review education/training when applicable.

Skills

Oral and written communication

Organizational skills

Analytical skills

Conflict resolution

Education

Healthcare or business degree

Job description

Compliance Auditor

The Position

We seek to fill a Compliance Auditor role in the Cherry Hill, NJ area. The candidate will be responsible for supporting the corporate compliance program. The position includes a generous salary of up to $67K and benefits. (This is not a remote position).

Compliance Auditor Responsibilities Include:

• Conducting audits of inpatient and outpatient hospital regulatory requirements, including billing, coding, and documentation, and related processes to determine the organizational integrity of billing facility and technical hospital fees, including detection and correction of documentation, coding, and billing errors.
• Preparatory work for reviews/audits including developing a scope of work.
• Reviewing available documentation.
• Assisting in the development of policies and procedures that establish standards for compliance, as well as preparation of other guidance documents and tools to assist providers and staff in appropriate billing, coding, and documentation.
• Serving as an institutional subject matter expert and authoritative resource on the interpretation and application of the documentation and coding rules and regulations.
• Analyzing/reviewing audit data and preparing reports for review and presentation to management, providers, and departments, making recommendations for improvement.
• Determining charge corrections and refunds resulting from compliance reviews and ensuring they have been completed.
• Performing follow-up reviews when necessary.
• Ensuring appropriate work papers, either paper or electronic, are maintained in accordance with regulations/policy.
• Post-review/audit education/training when applicable.

Who Are You?

You're someone who wants to influence your own development. You're looking for an opportunity where you can pursue your interests and your passion. Where a job title is not considered the final definition of who you are, but merely the starting point for your future.

You Also Bring The Following Skills And Experience:

• Degree in a healthcare or business-related major (Nursing, HIM, accounting, finance, business administration, etc.) from an accredited program or equivalent experience.
• Excellent oral and written communication skills.
• Excellent organizational and analytical skills.
• Conflict resolution skills.