Compliance Auditor

Sanford Health; Wisconsin; Remote; USD 80,000 - 100,000; Full time

Job summary

Join a forward-thinking health system dedicated to compliance and quality assurance. In this role, you will conduct internal audits and ensure adherence to regulations while analyzing patient records for coding accuracy. This position offers opportunities for professional growth and a supportive work environment that values continuous learning. With a comprehensive benefits package, including health insurance and generous time off, this is an excellent opportunity for those passionate about healthcare compliance and making a difference in the industry.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

401(k) Retirement Plan

Work/Life Balance Benefits

Generous Time Off Package

Qualifications

• Requires certification as RHIA, RHIT, CCS, or CPC.
• Two years of relevant compliance work experience preferred.

Responsibilities

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

Skills

Internal Audits

Compliance Knowledge

Data Analysis

Patient Record Analysis

Regulatory Research

Education

High School Diploma

Degree in Health Information Management

Tools

CPT Coding

ICD-10 Coding

HCPCS Coding

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
Address:
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

High school diploma or equivalent preferred. Advanced diploma or degree in Health Information Management or healthcare related field is preferred.

Prior relevant compliance work experience is preferable. Two years’ experience is required.

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