Compliance Auditor

June 27

🧀 Wisconsin – Remote

Although this job is listed in Wisconsin, this company may be open to hiring remote in other states.

💵 $19 - $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

🚫👨‍🎓 No degree required

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Sanford Health

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Healthcare Insurance

Sanford Health is the largest rural health system in the United States, dedicated to transforming the healthcare experience and providing access to world-class healthcare in America's heartland. Headquartered in Sioux Falls, South Dakota, Sanford Health serves over 1. 4 million patients and nearly 200,000 health plan members across 250,000 square miles. The integrated health system includes 48 medical centers, 211 clinic locations, and more than 160 senior living centers, employing 2,900 physicians and advanced practice providers. Sanford Health is committed to offering compassionate care through its Centers of Excellence, focusing on specialties such as cancer, orthopedics, women’s health, and genetics. Additionally, it provides affordable health insurance, engages in extensive clinical trials, and supports personalized genetic medicine.

10,000+ employees

Founded 1894

⚕️ Healthcare Insurance

📋 Description

• Responsible for conducting internal audits and monitors to ensure that the organization’s processes and operations are in compliance with laws, corporate guidelines, best practices, and contractual agreements. • Knowledgeable of general audit concepts and techniques, including the type of audits, the approaches and processes, and the subsequent activities, as they relate to internal audits. • Demonstrates the ability to interpret Federal rules and regulations. • Demonstrates the ability to research regulation from various data sources. • Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in Current Procedural Terminology (CPT), International Classification of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment. • Demonstrates both knowledge and application of Sanford Health Systems, policies, procedures, and guidelines. • Demonstrates commitment to continuous learning for themselves and performs as a role model to other coding staff.

🎯 Requirements

• High school diploma or equivalent preferred. • Advanced diploma or degree in Health Information Management or healthcare related field is preferred. • Prior relevant compliance work experience is preferable. • Two years’ experience is required. • Certification in one of the following is required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or an equivalent. • Certified Healthcare Auditor (CHA) certification to be completed within one year of employment is preferred.