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System Compliance Auditor
Audit provider documentation, coding, and billing at The University of Vermont Health Network, reporting findings and recommending steps to reduce risk. Support compliance through provider training, collaboration across billing and clinical teams, and monitoring of state and federal regulations.
विवरण
- Assess risks in documentation, coding, and billing processes.
- Help prevent potential fines and penalties from government agencies.
- Develop and deliver orientation training for new providers.
- Conduct annual audits of provider billing.
- Educate providers and employees who prepare or submit professional bills to federal payers.
- Report audit findings to billing providers, administrative and clinical leaders, and non-clinical staff.
- Recommend actions based on audit findings.
- Work with professional and hospital billing teams, Coding Education, Health Information Management, Revenue Integrity, management, and physician leaders.
- Identify billing risks and conduct audits.
- Recommend measures to reduce risk and support compliance.
- Help develop the annual Compliance Audit Work Plan.
- Ensure organizational policies and audit standards meet applicable requirements.
- Stay current with relevant state and federal regulations.
आवश्यकताएँ
- Bachelor’s degree in business, health care operations, or a clinical field; substantial relevant auditing experience may substitute for academic credentials.
- Master’s degree in business or a health care related field preferred.
- Certification from the American Academy of Professional Coders (AAPC) required.
- CPC-E/M Auditor certification preferred.
- Five years of work-related experience in coding and billing for professional services.
- One year of auditing experience.
- Knowledge of state and federal regulations related to documentation, coding, and billing.
- Ability to conduct audits, identify billing risks, and recommend ways to reduce risk and support compliance.
लाभ
- Full-time position.
- 40-hour standard workweek.
- Day shift.
- No weekend work required.
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