Compliance Auditor Analyst

SUNY Upstate University Hospital; City of Syracuse (NY); Hybrid; USD 35,000 - 59,000; Full time

Benefits offered by this job

Health insurance

Dental and vision insurance

Tuition reimbursement

Paid time off

Holidays

Job summary

SUNY Upstate University Hospital is seeking a coding and billing auditor to analyze professional coding and billing data and review regulations. The role includes conducting audits of CPT and ICD-10 coding, interpreting standards, and producing actionable audit reports.

Hybrid/remote options may be considered based on department needs. Candidates should have an associates degree and relevant credentials, with strong Excel and Word skills and a commitment to confidentiality.

Qualifications

• Associates degree and healthcare setting experience.
• Strong ability to interpret regulations and guidelines related to coding and billing.
• Demonstrated proficiency with CPT and ICD-10 coding concepts.
• Excellent report writing and oral communication skills.
• Commitment to confidentiality of patient and billing data.

Responsibilities

• Analysis of coding and billing data, identification of trends and aberrations.
• Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, CPT and ICD 10 coding, and billing guidelines.
• Interpretation of coding, billing, and regulatory standards.
• Preparation and completion of audit reports including recommendations, education and corrective action.

Skills

MS Word

MS Excel

Analytical skills

Regulatory interpretation

Time management

Communication skills

Confidentiality

Medical records familiarity

Education

Associates degree

CCCS-P, CCCS, CPC, RHIA or RHIT

Tools

Microsoft Word

Microsoft Excel

Job description

Job Summary:

Position Summary:

• analysis of professional coding and billing data
• review of applicable regulations or guidelines
• professional coding and billing audits of CPT and ICD 10 coding.

Duties/Responsibilities:

• Analysis of coding and billing data, identification of trends and aberrations
• Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, CPT and ICD 10 coding, and billing guidelines
• Interpretation of coding, billing, and regulatory standards

Preparation and completion of audit reports including recommendations, education and corrective action.

Knowledge, Skills and Abilities:

• Strong computer skills specifically Microsoft word and Microsoft excel applications
• Strong analytical, problem-solving and time management skills
• Expertise in report writing and oral communications
• Ability to interpret regulations, payment and reimbursement systems, billing and coding guidelines and apply standards
• Familiarity with health information and/or medical records
• Able to organize work, prioritize assignments and meet deadlines
• Maintains a professional and cooperative attitude with providers, co-workers and employer
• Able to maintain confidentiality of all patient information and compliance related information.

Minimum Qualifications:

Associates degree and 2 years experience in healthcare setting. CCCS-P, CCCS, CPC, RHIA or RHIT required.

Preferred Qualifications:

Bachelors Degree; Coding and auditing experience preferred.

Work Days:

Monday-Friday, daytime hours. Hybrid/remote work options may be considered based on department needs and position requirements

Message to Applicants:

Our benefits package includes health, dental and vision insurance, eligibility for employer 401k funding after 1 year (3% quarterly/5% annual on vesting schedule), tuition reimbursement, generous paid time off, including vacation and personal time, paid sick leave, holidays and floating holidays.

G5: $25.10 - $42.92

Please note the salary information shown is a general guideline only. Salaries are based upon candidate skills, experience, and qualifications, as well as internal equity, market and business considerations.

Recruitment Office:MedBest Medical Management

We are an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran status or disability or other protected classes under State and Federal law.