Compliance Auditor: Billing Integrity & Risk Audits

Medical University of South Carolina; Charleston (SC); Hybrid; USD 65,000 - 90,000; Full time

Job summary

The Medical University Hospital Authority (MUHA) is seeking a Compliance Auditor to join its Regulatory Audit team. The role involves performing audits to assess adherence to laws, regulations, and policies by reviewing records, analyzing data, and interviewing staff and stakeholders.

Audits target high-risk areas identified in risk assessments and work plans. You will engage in planning, conducting pre- and post-audit meetings, and delivering cohesive reports with corrective actions when

Qualifications

• Bachelor's degree in a related field and a minimum of 2 years of medical billing, coding, and/or audit experience.
• High school diploma or GED with 4 years of medical billing, coding, and/or audit experience required; college degree preferred.
• Applicant must be credentialed as a coder or similar professional body (RN, RHIA, CPC, etc.) that lends to compliance auditing.
• Effective oral and written communication skills required.

Responsibilities

• a) The regulatory and industry research needed for audit planning
• b) Pre and post audit meetings with stakeholders
• c) Cohesive audit report that communicates results and includes a corrective action plan if warranted, and
• d) Education and training to stakeholders as needed

Education

Bachelor's degree in related field

High school diploma or GED

Job description

The Medical University Hospital Authority (MUHA) is seeking a Compliance Auditor to join its Regulatory Audit team. The role involves performing audits to assess adherence to laws, regulations, and policies by reviewing records, analyzing data, and interviewing staff and stakeholders.

Audits target high-risk areas identified in risk assessments and work plans. You will engage in planning, conducting pre- and post-audit meetings, and delivering cohesive reports with corrective actions when