Healthcare Compliance Auditor & Policy Consultant

Baylor Scott & White Health; Frankfort (KY); On-site; USD 65,000 - 98,000; Full time

Job summary

Baylor Scott & White Health (BSWH) is committed to an effective compliance program. The Corporate Compliance Consultant helps develop, implement, and maintain BSWH policies to ensure adherence to laws and regulations.

The role conducts audits, prepares reports, and coordinates coding education for providers, acting as a compliance resource across BSWH entities. Strong communication and auditing knowledge are essential for success.

Qualifications

• Bachelor’s degree or 4+ years of work experience above the minimum qualification.
• 2+ years of experience, preferably in the auditing space.
• Experience with coding compliance and auditing processes is preferred.

Responsibilities

• Identifies projects for audits and schedules audits with appropriate personnel.
• Conducts auditing, monitoring, and investigating activities to ensure compliance with policies and laws.
• Provides written audit reports, identifies risks, and recommends corrective actions.
• Obtains corrective action plans and ensures effective implementation.
• Tracks audit findings and surveys personnel to assess satisfaction and effectiveness.
• Coordinates coding education with providers on audit trends and compliance initiatives.
• Serves as a coding compliance resource across BSWH departments.

Skills

Written and verbal communication

Microsoft Word and Excel

Critical thinking

Attention to detail

Professional initiative

HCCA Certification Preferred

Education

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

Tools

CPT knowledge

ICD-10-CM knowledge

HCPCS knowledge

CMS regulations

Job description

Baylor Scott & White Health (BSWH) is committed to an effective compliance program. The Corporate Compliance Consultant helps develop, implement, and maintain BSWH policies to ensure adherence to laws and regulations.

The role conducts audits, prepares reports, and coordinates coding education for providers, acting as a compliance resource across BSWH entities. Strong communication and auditing knowledge are essential for success.