Oregon Licensed Compliance Auditor

Virtual Vocations Inc; United States; À distance; USD 60 000 - 90 000; Plein temps

Résumé du poste

Virtual Vocations Inc. is seeking a full-time Oregon-licensed Compliance Auditor to conduct auditing and monitoring of operational processes and internal controls. The role is remote, aligning with Pacific Standard business hours.

Responsibilities include auditing medical records and billing for regulatory compliance, developing corrective action plans, and aiding the risk assessment process. Requires CCS or CPC certification, CPT/ICD-10-CM/HCPCS knowledge, and 3 years of ambulatory coding

Qualifications

• 3 years of experience in ambulatory coding and healthcare compliance auditing.
• Current knowledge of CPT, ICD-10-CM, and HCPCS coding standards.
• CCS or CPC certification is required.
• Familiarity with HIPAA and Stark Law.

Responsabilités

• Perform ongoing audits of medical record and billing documentation for compliance with legal and regulatory standards.
• Develop and implement corrective action plans, including training materials and policy revisions.
• Support the compliance risk assessment process by informing the annual workplan scope and risk areas.

Connaissances

Healthcare auditing

Ambulatory coding

Coding standards knowledge

Formation

Bachelor's degree or equivalent

Description du poste

To support compliance initiatives, the full-time Oregon Licensed Compliance Auditor will conduct auditing and monitoring activities related to operational processes and internal controls, including coding audits and compliance assessments, while working remotely during Pacific Standard business hours.

Key responsibilities

• Perform ongoing audits of medical record and billing documentation for compliance with legal and regulatory standards
• Develop and implement corrective action plans, including training materials and policy revisions
• Support the compliance risk assessment process by informing the annual workplan scope and risk areas

Required qualifications

• 3 years of experience in ambulatory coding and healthcare compliance auditing
• Bachelor's Degree or equivalent education and work experience
• Current knowledge of CPT, ICD-10-CM, and HCPCS coding standards
• Certification as a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) is required
• Familiarity with federal and state healthcare compliance laws, including HIPAA and the Stark Law