Healthcare Compliance Analyst & Auditor

ummc; Missouri; On-site; USD 65,000 - 85,000; Full time

Job summary

Integrity & Compliance-Healthcare Compliance seeks a Compliance Analyst to oversee internal audits in assigned areas (Hospital, Provider, or Research) and educate staff on regulatory guidelines, research regulations, coding and billing requirements.

Education: Bachelor's or Associate degree with 3 years in ICD-9/ICD-10, CPT coding, research, or billing. Preferred certifications from AHIMA, AAPC, HCCA, ACRP, or SoCRA.

Qualifications

• Education and Experience: Degree (Bachelor's or Associate's) and three (3) years of ICD-9/ICD-10 coding, CPT coding, research, and/or billing experience.
• Preferred Qualifications include AHIMA/AAPC/HCCA/ACRP/SoCRA certifications.
• Knowledge, Skills & Abilities include regulatory knowledge, coding principles, communication, interpersonal skills, training and reporting.

Responsibilities

• Performs audits on an assigned area (Hospital, Provider, or Research) and reports results to appropriate personnel.
• Participates in the development of educational and training programs that focus on elements of the compliance program; explains guidelines, policies, and procedures to staff and physicians.
• Analyzes operating procedures, identifies potential violations, and provides technical assistance/recommendations to management.
• Collaborates with managers to identify aberrant trends in coding, billing, documentation, research, and other compliance areas.
• Confers with external auditors to ensure compliance of an assigned area.
• Management retains the right to add or change duties at any time.

Skills

Regulatory knowledge

Coding (CPT/ICD-9/ICD-10)

Verbal & written communication

Interpersonal skills

Regulatory training

Data analysis & reporting

Educational presentation

Education

Bachelor's or Associate degree

Job description

Integrity & Compliance-Healthcare Compliance seeks a Compliance Analyst to oversee internal audits in assigned areas (Hospital, Provider, or Research) and educate staff on regulatory guidelines, research regulations, coding and billing requirements.

Education: Bachelor's or Associate degree with 3 years in ICD-9/ICD-10, CPT coding, research, or billing. Preferred certifications from AHIMA, AAPC, HCCA, ACRP, or SoCRA.