Healthcare Compliance Auditor - Coding & Policy

Baylor Scott & White Health; Nashville (TN); Sur place; USD 43 000 - 65 000; Plein temps

Résumé du poste

Baylor Scott & White Health (BSWH) seeks a Corporate Compliance Consultant to support an effective compliance program. The role, under the Coding Compliance Manager, develops, implements, and maintains BSWH policies to ensure adherence to federal, state, and local laws.

The position emphasizes audits, education for providers, and collaboration with BSWH departments to mitigate risks and improve compliance across the system.

Qualifications

• Bachelor's degree or 4 years of work experience above the minimum qualification.
• 2+ years of experience in auditing, preferably in the auditing space.

Responsabilités

• Identify appropriate projects for audits and schedule audits with appropriate personnel.
• Conduct auditing, monitoring, and investigating activities to ensure compliance with BSWH policies and regulations.
• Provide written audit and investigation reports, identifying risks and recommending corrective actions.
• Obtain corrective action plans and ensure effective implementation.
• Track audit findings and survey personnel audited for satisfaction and effectiveness.
• Coordinate coding education with providers regarding audit trends and training for compliance initiatives.
• Serve as a coding compliance resource to BSWH departments and entities on basic compliance matters.

Connaissances

Auditing experience

Communication skills

Attention to detail

Critical thinking

Microsoft Word

Microsoft Excel

Formation

Bachelor's degree or 4 years of work experience above minimum qualification

Description du poste

Baylor Scott & White Health (BSWH) seeks a Corporate Compliance Consultant to support an effective compliance program. The role, under the Coding Compliance Manager, develops, implements, and maintains BSWH policies to ensure adherence to federal, state, and local laws.

The position emphasizes audits, education for providers, and collaboration with BSWH departments to mitigate risks and improve compliance across the system.