Senior Healthcare Compliance & Audit Lead

Fred Hutchinson Cancer Center (Fred Hutch); Seattle (WA); On-site; USD 95,000 - 143,000; Full time

Benefits offered by this job

Medical/dental benefits

Retirement plan

Paid vacation and holidays

Job summary

Fred Hutchinson Cancer Center, based in Seattle, WA, seeks a Senior Compliance Specialist to lead audits and healthcare reimbursement activities. You will respond to inquiries, develop education programs, and help maintain policies supporting enterprise compliance across Revenue Cycle, Quality, Pharmacy and Laboratory teams.

The role requires five-plus years in health care reimbursement/coding or compliance, with CPC-H/CMAS preferred.

Qualifications

• Minimum five years of experience related to health care reimbursement/coding operations or compliance including experience conducting internal audits or hospital billing and coding audits and written reports of findings.
• Extensive knowledge of ICD-9-CM, ICD-10-CM, CPT, and HCPCS coding principles and guidelines.
• Strong critical thinking and data analysis abilities including the ability to gather information from multiple sources, including but not limited to sophisticated data mining programs and software, to gain a thorough understanding of problems/issues.

Responsibilities

• Assist the Compliance Office in executing an effective auditing and monitoring plan by conducting independent and integrated compliance audits and investigations.
• Receive and respond to generated inquiries, requests for consultation, and complaints.
• Prepare written reports of audit findings/results, including recommendations for improvement and corrective actions.
• Assist in tracking and conducting health care reimbursement compliance risk assessments, identify high risk areas and communicate results to Senior Manager, Health Care Reimbursement Compliance.
• Assist in the development, implementation and maintenance of clinical and research reimbursement and coding compliance education, training and internal controls.

Skills

Healthcare reimbursement

Auditing

Coding knowledge

Data analysis

Critical thinking

Education

Bachelor's degree

Tools

Data mining software

Job description

Fred Hutchinson Cancer Center, based in Seattle, WA, seeks a Senior Compliance Specialist to lead audits and healthcare reimbursement activities. You will respond to inquiries, develop education programs, and help maintain policies supporting enterprise compliance across Revenue Cycle, Quality, Pharmacy and Laboratory teams.

The role requires five-plus years in health care reimbursement/coding or compliance, with CPC-H/CMAS preferred.