Job Details

A company is looking for a Senior Compliance Auditor to review complex audits and assist in compliance education.Key ResponsibilitiesConduct complex audits of hospital and physician claims to ensure compliance with regulationsSupport the development and maintenance of the quarterly audit work plan and assist in training new auditorsCoordinate and monitor Corrective Action Plans for identified non-compliance issuesRequired QualificationsBachelor's Degree in Business, Finance, Allied Health, or a related fieldMinimum of five years of experience in a healthcare environment, including auditing and complianceCurrent certification from AAPC or AHIMA, such as CPC or CCSExtensive knowledge of CMS, OIG, and regulatory guidelinesStrong proficiency in data analysis and use of electronic health records