Physician Compliance Auditor 2 - Healthcare & Research - Analysts

Comforcehealth; Georgia (VT); Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking a skilled Physician Compliance Auditor 2 to join their team. This role involves conducting chart audits, implementing coding reviews, and developing educational materials for providers. The ideal candidate will possess strong compliance knowledge and relevant certifications, ensuring adherence to medical record documentation guidelines. This position offers a competitive hourly rate and a comprehensive benefits package, making it a great opportunity for professionals looking to make a significant impact in the healthcare sector while working remotely.

Benefits

Medical & pharmacy coverage

Dental/vision insurance

401(k)

Health saving account (HSA)

Flexible spending account (FSA)

Life Insurance

Pet Insurance

Short term and Long term Disability

Accident & Critical illness coverage

Employee Assistance Program (EAP)

Qualifications

• 5+ years of experience in provider education and auditing.
• Certification in CPC, CCS, or RHIT is mandatory.

Responsibilities

• Perform annual chart audits and provide recommendations.
• Develop curriculum for provider education on documentation standards.

Skills

Provider education/audit

Coding compliance

Chart audits

Regulatory knowledge

Education

CPC

CCS

RHIT

Tools

Epic

Job description

Physician Compliance Auditor 2 - Healthcare & Research

Innova Solutions has a client that is immediately hiring for a Physician Compliance Auditor 2.

Position type: Contract- Full Time
Duration: 3 months with possible extension
Location: Remote

As a Physician Compliance Auditor 2, you will:

• Perform annual chart audits (mostly in their areas of expertise) and formulate recommendations based upon the audit findings and communicate them to the appropriate personnel.
• Implement annual coding reviews and ensure that compliance issues and areas of risk are identified and addressed.
• Develop curriculum to be used in orienting and educating providers and staff in the specialty clinics to medical record documentation guidelines and standards and to diagnostic and procedural coding conventions and methodologies.
• Assist in specialty coding educational sessions with Revenue Cycle Management (RCM) and Risk Based Coding.
• Coding compliance resource and consultant for all physicians and advance practice providers, company administrators and physician practice staff.
• Prepare and submit compliance reports to the compliance committee.
• Serve as a coding and documentation resource to Physician Coding Auditors I and RCM on specialty (cardiology, neurology, orthopedics, etc.) coding.
• Cross-train other Physician Coding Auditors in their area(s) of expertise in order to provide more depth and flexibility to the department.
• Maintain working knowledge of Federal, State, private payer, and other applicable legal and regulatory requirements for the compliance department.

The ideal candidate will have:

• Certification/Degree Requirements: CPC, CCS, RHIT - must have one.
• Top Skills: Provider education/audit required, 5 years exp minimum, epic is preferred.

PAY RANGE AND BENEFITS:
Pay Range: $30-$35 per hour
Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.
Benefits: Innova Solutions offers benefits (based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

ABOUT INNOVA SOLUTIONS:
Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion.

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment.

Thank You!
Team Innova Solutions