System Compliance Auditor: Risk & Billing Integrity

University of Vermont Medical Center; Burlington (VT); On-site; USD 85,000 - 110,000; Full time

Job summary

The University of Vermont Medical Center is seeking a System Compliance Auditor to identify and assess risks in documentation, coding and billing processes. This role helps prevent government penalties by ensuring compliance with state and federal regulations related to healthcare documentation, coding, reporting, and billing for health care services.

The position performs annual provider billing audits, delivers orientation training for new providers, and supports ongoing education for

Qualifications

• Bachelor's degree in business, health care operations or a clinical field required.
• Substantial work-related experience as an auditor, along with academic credentials, may serve as a substitute.
• Master's degree in business or health care related field preferred.
• Must possess certification issued by the American Academy of Professional Coders (AAPC).
• Certification as CPC-E/M Auditor preferred.

Responsibilities

• Identify billing related risk areas and conduct audits of such risk areas.
• Report audit findings to billing providers and leaders, and recommend corrective actions.
• Develop annual Compliance Audit Work Plan and ensure policies conform to requirements.
• Provide orientation training for new providers and ongoing education to staff involved in professional billing.

Skills

Auditing

Regulatory compliance

Coding & billing knowledge

Training & education

Communication

Education

Bachelor's degree in business, health care operations or clinical field

Master's degree in business or health care related field

AAPC certification

CPC-E/M Auditor certification preferred

Job description

The University of Vermont Medical Center is seeking a System Compliance Auditor to identify and assess risks in documentation, coding and billing processes. This role helps prevent government penalties by ensuring compliance with state and federal regulations related to healthcare documentation, coding, reporting, and billing for health care services.

The position performs annual provider billing audits, delivers orientation training for new providers, and supports ongoing education for