The University of Vermont Health Network
The University of Vermont Health Network
The University of Vermont Health Network is a regional healthcare and education organization that brings together hospitals, medical centers, and healthcare providers serving communities across Vermont and New York. Its network combines community-based care with academic medicine, supporting access to advanced treatments, coordinated services, and compassionate patient care. Member organizations, including The University of Vermont Medical Center, work together to strengthen healthcare delivery and improve outcomes throughout the region.

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.

Description

  • 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.

Requirements

  • 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.

Benefits

  • Full-time position.
  • 40-hour standard workweek.
  • Day shift.
  • No weekend work required.

Related Jobs

ReSus Consult GmbH

Sales Director, HVAC and Plumbing (SHK)

ReSus Consult GmbH
DEGermany
€120,000 – €180,000 / year
HybridFull-timeLeadGerman RequiredSales

Lead a regional portfolio of five to twelve SHK trade businesses, with responsibility for budgets and operational development. Build regional collaboration through digitalization, shared capacity, larger projects and best-practice exchange.

Open
smartkündigen OHG

Senior Sales Manager (German-speaking), Remote

smartkündigen OHG
11 – 50 Employees
B2CProductivitySaaS

Advise customers, grow existing accounts, and close sales for smartkündigen’s digital contract cancellation service. Work fully remotely without cold calling.

Open
smartkündigen OHG

Senior Sales Manager, Remote

smartkündigen OHG
11 – 50 Employees
B2CProductivitySaaS

Advise customers, grow existing accounts, and close sales for smartkündigen’s digital contract cancellation service. Work fully remotely worldwide, handling inbound inquiries without cold calling.

Open