Compliance Auditor

Good Samaritan Society; Wisconsin; Remote; Full time

Job summary

An established industry player seeks a detail-oriented auditor to ensure compliance with healthcare regulations. In this full-time role, you will conduct internal audits, analyze patient records, and ensure adherence to best practices and corporate guidelines. Join a dynamic team that values continuous learning and professional development while contributing to the health and healing mission. Enjoy a supportive work environment with a comprehensive benefits package that promotes work-life balance. If you have a passion for healthcare compliance and auditing, this opportunity is perfect for you.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

401(k) Retirement Plan

Generous Time Off Package

Work/Life Balance Benefits

Qualifications

• 2+ years of compliance work experience is required.
• Certification in RHIA, RHIT, CCS, CPC, or equivalent is mandatory.

Responsibilities

• Conduct internal audits to ensure compliance with laws and guidelines.
• Analyze patient records for non-conformances in coding assignments.

Skills

Internal Auditing

Regulatory Compliance

Data Analysis

Healthcare Coding

Education

High School Diploma

Advanced Diploma in Health Information Management

Job description

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Facility: Remote WI
Location: Remote, WI
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: 19.00 - 30.50

Job Summary

Responsible for conducting internal audits and monitors to ensure that the organization’s processes and operations are in compliance with laws, corporate guidelines, best practices, and contractual agreements. Knowledgeable of general audit concepts and techniques, including the type of audits, the approaches and processes, and the subsequent activities, as they relate to internal audits. Demonstrates the ability to interpret Federal rules and regulations. Demonstrates the ability to research regulation from various data sources. Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in Current Procedural Terminology (CPT), International Classification of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment. Demonstrates both knowledge and application of Sanford Health Systems, policies, procedures, and guidelines. Demonstrates commitment to continuous learning for themselves and performs as a role model to other coding staff.

Qualifications

1. High school diploma or equivalent preferred. Advanced diploma or degree in Health Information Management or healthcare-related field is preferred.
2. Prior relevant compliance work experience is preferable. Two years’ experience is required.
3. Certification in one of the following is required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or an equivalent. Certified Medical Auditor (CMA) certification to be completed within one year of employment is preferred.

Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits.

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [e-mail].

Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number: R-0220865
Job Function: Legal and Compliance