Senior Compliance Auditor
A company is looking for a Senior Compliance Auditor to review complex audits and assist in compliance education.
Key Responsibilities
Conduct complex audits of hospital and physician claims to ensure compliance with regulations
Support the development and maintenance of the quarterly audit work plan and assist in training new auditors
Coordinate and monitor Corrective Action Plans for identified non-compliance issues
Required Qualifications
Bachelor's Degree in Business, Finance, Allied Health, or a related field
Minimum of five years of experience in a healthcare environment, including auditing and compliance
Current certification from AAPC or AHIMA, such as CPC or CCS
Extensive knowledge of CMS, OIG, and regulatory guidelines
Strong proficiency in data analysis and use of electronic health records