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Senior Coding Compliance Auditor

Bronx, NY 10467

Department: Revenue Job Number: 6017 Pay Rate: $90000-98000 Employment Type: Full Time

Job Description

Our client, a top NYC academic medical center, is currently hiring a Senior Compliance Auditor.
 Responsibilities:
  • Participate in external government audits, including the OMIG, OIG, AG, OSC, etc.
  • Communicate with external agencies regarding audits.
  • Participate in development of voluntary disclosures and repayments to federal and state agencies.
  • Coordinate, supervise, and perform medical record audits of documentation, coding and billing for technical and professional services, including CPT, ICD10, HCPCSII, DRG, APC, APG, Modifiers, Teaching Physician Guidelines, NPP documentation, electronical and manual documentation, coding and billing systems.
  • Develop formal audit reports of findings and recommendations, which are presented to senior management of applicable department, the Executive Compliance Committee and the Board of Trustees.
  • Develop and conduct documentation, coding and billing curriculum and education classes for physicians, allied health professionals, and coding and billing associates annually.
  • Partake in one-on-one education sessions based on audit findings
  • Facilitate responses to compliance-related inquiries (phone, e-mail, in-person).
Requirements:
  • Bachelor’s degree preferred
  • 3+ years compliance experience working in an academic hospital setting.
  • Knowledge of local, state, and federals rules and regulations. 
  • Coding certification (such as CCS, CPC, RHIA, RHIT)/ability to obtain within one year of hire.
  • Working knowledge of EPIC, SMART, 3M, MD Audit (or comparable compliance auditing software) preferable.

Job Perks:   

  • Competitive salary, great benefits, and other attractive incentives 
  • Generous PTO  
  • All major insurances (health, life, disability)  
  • Work-life balance is valued   
  • A team environment that believes in employee development, professional growth, and company longevity 
  • Culture is one of mutual respect, teamwork, and equality 
  • The organization embraces and values an inclusive work environment 

Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information. 
 
There is no such thing as a perfect candidate, so do not let that hold you back from applying. You do not need 100% of the qualifications to add incredible value to the team. If you are passionate about what you could accomplish in this role, we would love to hear from you! 
#LI-FP1

Meet Your Recruiter

Fran Philips
Vice President, Healthcare Recruitment

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