Healthcare Revenue Compliance Specialist

Brown University Health; Providence (RI); On-site; USD 71,000 - 117,000; Full time

Job summary

Brown University Health in Providence, RI seeks a Revenue Compliance Auditor to support the Corporate Compliance Plan and conduct retrospective audits of documentation, care delivery, coding, and billing to ensure compliance with policies and regulations. This role will develop audit plans with leadership, draft findings, and provide guidance to staff for corrective actions.

The position requires three years of health care auditing/compliance experience, knowledge of ICD-10-CM/HCPCS, and strong

Qualifications

• Three years recent, professional-level health care organization experience.
• A minimum of one to two years of audit/compliance experience is desirable.
• Understanding the structure and objectives of a healthcare compliance program is preferred.
• Knowledge of ICD-10-CM, HCPCS, and APC Coding methodologies is required.

Responsibilities

• Audit documentation to ensure compliance with Brown University Health policies and federal/state rules.
• Develop audit plans, guidelines, tools, and determine audit scope/methods.
• Draft reports of factual audit findings and recommendations to improve compliance.
• Provide compliance training to Brown University Health staff and clinicians.

Skills

Audit/compliance experience

EPIC EMR experience

ICD-10-CM/HCPCS coding knowledge

Healthcare payer knowledge

Analytical skills

Communication skills

Education

Bachelor's degree in health science

Tools

MS Word

Excel

MS Outlook

Copilot

Job description

Brown University Health in Providence, RI seeks a Revenue Compliance Auditor to support the Corporate Compliance Plan and conduct retrospective audits of documentation, care delivery, coding, and billing to ensure compliance with policies and regulations. This role will develop audit plans with leadership, draft findings, and provide guidance to staff for corrective actions.

The position requires three years of health care auditing/compliance experience, knowledge of ICD-10-CM/HCPCS, and strong