[Hiring] Healthcare Compliance Audit Analyst @LE0006 AMP MSO, LLC
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role DescriptionThe Compliance Audit Analyst is responsible for the timely and effective completion of Health Care Integrity Program documentation audits and risk assessment projects for coding, documentation, and billing accuracy. • Conduct physician/provider and facility documentation audits. • Ensure accuracy of data entered into the CD Internal Audit Database and prepare reports for audited providers, department leadership, and organization leadership.• Analyze audit data and provide summary feedback to clinic and billing staff, making recommendations for improvement. • Work with the billing and coding departments to determine charge corrections and refunds resulting from compliance audits. • Minimize denial issues to achieve appropriate reimbursements. • Respond to audit, documentation, and coding review requests from the billing department. • Perform research for various billing and coding scenarios. • Provide input in the development and improvement of procedures used to complete the audit function.• Assist in conducting formal/informal education sessions for training physicians, non-physician providers, and other staff. • Identify additional opportunities to improve education of physicians, non-physician providers, and staff. • Prepare and produce billing/coding/documentation communication for guidance documents, website content, newsletter content, education content, and other communication channels. • Develop materials for education and communication derived from audit findings for feedback to physicians, department billing staff, and other compliance staff.• Identify education/awareness opportunities and guidance topics based on types of questions/issues received. Qualifications• Experience with using and navigating through an electronic medical record system. • Knowledge of state, federal, local, and payer-specific regulations and policies pertaining to documentation, coding, and billing. • Demonstrated capacity to work independently in an organized, detailed manner while maintaining a collaborative team environment. • Ability to think abstractly and concretely.• Ability to develop reports, presentations, and spreadsheets. • Strong computer skills including proficiency in bolthires Word, Excel, Outlook, PowerPoint, Access, and Internet Explorer. • Outstanding verbal and written communication skills. • Experience in handling complex organizational projects. • Excellent problem identification and solution skills to address difficult, complex issues. • Ability to gain the trust and confidence of providers, compliance team, and billing staff. Requirements• Bachelor's degree in health administration, health information management, or another related field preferred.• CPC, CCS-P, or CPMA required. • Minimum of three years of experience in healthcare compliance, healthcare operations, coding, and/or documentation auditing in a healthcare organization preferred. Benefits• Comprehensive medical, dental, and vision plans. • HSA / FSA. • 401(k) matching. • Employee Assistance Program (EAP). • Beyond competitive compensation. Working Conditions• Work is normally performed in an office setting and requires prolonged sitting. Physical Demands• Eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment.• Normal range of hearing and eyesight to record, prepare, and communicate appropriate documents. Position Reports toCompliance Director, USUP Apply tot his job