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Hospital Billing Compliance Auditor Hybrid
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- Hospital Billing Compliance Auditor Hybrid Full-time
- Performs documentation and coding audits, reviewing medical records and charges to ensure compliance with CPT coding standards and the Centers for Medicare & Medicaid Services (CMS) conditions of coverage and guidelines.
- Develops and administers coding and billing compliance training related to audit findings.
- Tracks and reports updates to coding and billing regulations.
- Works collaboratively with any department of UMMS and Member Organizations to research and resolve compliance investigations, including but not limited to, Member Organization Compliance Officers, Patient Financial Services, Reimbursement and Revenue Advisory Services, Health Information Management, Information Services and Technology, Case/Utilization Management, Quality, Pharmacy, Radiology, etc.
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