Compliance Auditor

Description

At SCP Health, what you do matters

As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.

Why You Will Love Working Here

Strong Track Record Of Providing Excellent Work/life Balance Comprehensive

benefits package and competitive

compensation Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.

What You’ll Be Doing

The Compliance Auditor reports to the Compliance Manager and is responsible for auditing billing and coding processes to ensure compliance with Medicare and other governmental payor rules and regulations.

Conducts regular baseline, focused, follow-up and representative sample audits as outlined in the annual audit plan.Develops reports of audit findings for each audit performed.Works collaboratively with other departments to gather information needed for each audit as well as to implement corrective action plans.Maintains knowledgeable of all healthcare laws and regulations, including but not limited to Medicare, Medicaid and other governmental payor rules and regulations.Assists with the development of policies and procedures related to auditing.Assists in the implementation and maintenance of analytics and trending of audit findings.Contributes to Company-wide Risk Assessment process.Exhibits the Companys Core Values and complies with the Code of Conduct.

Who/what We Are Looking For

1-3 years of

experience in compliance.Billing, coding, and audit

experience a plusCPC/CCS preferredRN or RHIA/RHIT a plusStrong analytical, research and problem-solving

skills. Must be able to recognize areas of the Company impacted by laws and regulations.Strong knowledge base in complete and accurate clinical documentation.Strong knowledge of Federal and State health care regulations.The ability to accurately interpret/implement regulatory standards and legal

requirements.Strong verbal and written communication

skills.Strong computer

skills (excel, and handling large data sets)Ability to work independently and handle multiple tasks/projects at the same time.Bachelor Degree Required

To Learn More About SCP Health, Please Visit

http://www.scp-health.com/

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Scp Health Is An

Equal Opportunity Employer.

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