Healthcare Compliance Auditor
VirtualVocationsOntario, California, United Statesjob_description.job_card.1_day_ago
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A company is looking for a Healthcare Compliance Auditor - Enterprise Risk.
Key Responsibilities
Assist in reviewing coding, billing, and claims processing policies to develop compliance monitors and audit protocols
Coordinate analysis of claims denial reports and operational assessments to detect billing trends and compliance issues
Develop educational content on documentation and coding to enhance compliance understanding and competency
Required Qualifications
CCS, CPC, RHIT, or RHIA certification required
Two to four years of experience in healthcare operations, auditing, or coding / billing
Knowledge of Medicare, Medicaid, and Insurance Managed Care regulations required
Experience with EPIC Electronic Medical Records System preferred
Demonstrated analytic skills for processing auditing and monitoring reports
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