Senior Healthcare Compliance & Audit Specialist

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

Benefits offered by this job

Medical/Vision

Dental

Flexible spending accounts (FSA)

Life Insurance

Disability Insurance

Retirement Plan

Paid Vacation

Paid Sick Leave

Paid Holidays

Paid Parental Leave

Onsite Health Clinic

Tuition Reimbursement

Employee Assistance Program

Job summary

Fred Hutchinson Cancer Center in Seattle seeks a Compliance Specialist, Senior to lead auditing and monitoring activities within the Compliance Office. You will collaborate with Revenue Cycle, Quality, Pharmacy, and Laboratory to ensure adherence to laws, regulations, and enterprise policies.

The role requires extensive knowledge of healthcare reimbursement and coding, with oversight of audit reports and education programs across clinical and research settings.

Qualifications

• Bachelor's degree is required.
• Five years of experience in healthcare reimbursement/coding operations or compliance including internal audits or hospital billing and coding audits.
• Extensive knowledge of ICD-9-CM, ICD-10-CM, CPT, and HCPCS coding principles.
• Strong critical thinking and data analysis abilities.

Responsibilities

• Assist Compliance Office in executing auditing and monitoring plans.
• Respond to inquiries, requests for consultation, and complaints.
• Prepare written reports of audit findings/results with recommendations for improvement.
• Assist in tracking health care reimbursement compliance risk assessments and communicate results to Compliance Leadership.
• Develop education and internal controls for reimbursement and coding.
• Develop standard compliance reports and communicate findings to Senior Manager.
• Maintain knowledge of HIPAA, OIG activities, and other regulations.
• Perform other duties as assigned.

Skills

Healthcare reimbursement

Coding operations

Internal audits

Data analysis

Critical thinking

Education

Bachelor's degree

Tools

Data mining software

Tracking software

Job description

Fred Hutchinson Cancer Center in Seattle seeks a Compliance Specialist, Senior to lead auditing and monitoring activities within the Compliance Office. You will collaborate with Revenue Cycle, Quality, Pharmacy, and Laboratory to ensure adherence to laws, regulations, and enterprise policies.

The role requires extensive knowledge of healthcare reimbursement and coding, with oversight of audit reports and education programs across clinical and research settings.