*Job Summary:*
We are looking for a Compliance Officer who can support us for conducting scheduled and unscheduled patient and professional audits and projects related to billing and payment integrity, workflow, and duties in order to ensure accurate and timely responses.
Oversees, coordinates, and conducts audits on documentation, abstraction, and coding to ensure compliance with our Organization's guidelines.
DME compliance hands on experience is required.
*Must-Have Qualifications:*
* Bachelor’s Degree with at least three years experience in a compliance office or the equivalent;
* The American Academy of Professional Coders (AAPC) recognized coding certification (CPC, CPC-H, ACS, CCS-P/H, RHIA);
* Knowledge of medical auditing, State and Federal healthcare program policies and requirements (including Medicare Parts A and B), and ICD-10, CPT, HCPCS, DRG coding;
* Proficient with word processing, spreadsheet and related computer applications;
* Demonstrated human relations and effective communication skills also required.
*Essential Functions:*
* Oversees, coordinates, and conducts scheduled and unscheduled billing and coding audits to ensure compliance with Organization, State and Federal guidelines
* Assist our organization in preparation for regulatory audits, by developing, monitoring, and updating quality controls and recommends actions to maintain compliance
* Recommends enhancements to facility and professional operating policies and procedures, based on audit results and/or billing and payment integrity data.
* Teams with providers, managers and staff to assist in implementing, coordinating, and monitoring compliance practices.
* Serves as an expert resource in issue resolution
Job Type: Full-time
Pay: $20.
00 - $25.
00 per hour
Application Question(s):
* Are you available to start immediately?
* What would be your pay per hour expectation?
Education:
* Bachelor's (Required)
Experience:
* Healthcare Compliance: 3 years (Required)
License/Certification:
* AAPC recognized coding certification (Required)
Work Location: Remote
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