Compliance Auditor Analyst

Upstate Medical University

City of Syracuse (NY)

On-site

USD 27,000 - 50,000

Full time

14 days+

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Benefits offered by this job

Health, dental, and vision insurance

401k funding after 1 year

Tuition reimbursement

Generous paid time off

Paid sick leave

Holidays and floating holidays

Job summary

Upstate Medical University is looking for a Compliance Auditor Analyst to analyze coding and billing data, perform audits, and prepare reports under the direction of the Compliance Officer. This role requires strong analytical and problem-solving skills, as well as familiarity with healthcare regulations.

Qualifications

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

Responsibilities

Analysis of coding and billing data, identification of trends and aberrations.
Performance of audits evaluating compliance with applicable laws and regulations.
Preparation and completion of audit reports with recommendations.

Skills

Analytical skills

Problem-solving skills

Time management skills

Microsoft Word proficiency

Microsoft Excel proficiency

Education

Associates degree

Bachelors Degree (Preferred)

Job description

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Job Summary

Position Summary:

Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional coding and billing audits.

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, 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

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.

G7: $27.00 - $44.36

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