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The University of Vermont Health Network
The University of Vermont Health Network
IzglītībaVeselības aprūpe
The University of Vermont Health Network ir reģionāla veselības aprūpes un izglītības organizācija, kas apvieno slimnīcas, medicīnas centrus un veselības aprūpes pakalpojumu sniedzējus, kuri apkalpo kopienas Vermontā un Ņujorkā. Tīkls apvieno kopienā balstītu aprūpi ar akadēmisko medicīnu, veicinot piekļuvi progresīvām ārstēšanas iespējām, koordinētiem pakalpojumiem un līdzjūtīgai pacientu aprūpei. Dalīborganizācijas, tostarp The University of Vermont Medical Center, sadarbojas, lai stiprinātu veselības aprūpes pakalpojumu sniegšanu un uzlabotu ārstēšanas rezultātus visā reģionā.
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Vakances uzņēmumā

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.

USAmerikas Savienotās ValstisVTVērmonta
30 $ – 45 $ / stunda
AttālinātiPilna slodzeVidējais līmenisVecākais speciālistsNepieciešamā Valoda: angļuRevidents

Apraksts

  • 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.

Prasības

  • 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.

Priekšrocības

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

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