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Compliance Auditor

🔥 2 minutes ago

🇺🇸 United States – Remote

đź’µ $79.7k - $105.5k / year

⏰ Full Time

đźź  Senior

đź”´ Lead

🔎 Auditor

🦅 H1B Visa Sponsor

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Logo of Cardinal Health

Cardinal Health

10,000+ employees

Founded 1971

📦 Logistics

🏭 Manufacturing

🏥 Healthcare

đź’° $78M Post-IPO Debt on 2006-08

Logistics • Manufacturing • Healthcare

Cardinal Health is a global healthcare services and products company. It provides a comprehensive range of healthcare services, including medical supply distribution, pharmaceutical distribution, and logistics solutions to various healthcare facilities such as hospitals, community health centers, and ambulatory surgery centers. Additionally, Cardinal Health offers a variety of medical products and pharmaceutical services. The company also focuses on innovative solutions to enhance healthcare delivery, through services like patient support, pharmacy management, and advanced therapy solutions. Cardinal Health is committed to supporting healthcare providers in delivering quality patient care while optimizing operational efficiency.

đź“‹ Description

• Conduct coding, billing, and documentation audits to identify compliance, coding, and reimbursement risks • Review medical records and claims for regulatory, payer, and organizational compliance • Analyze audit findings, identify trends and improvement opportunities, and recommend corrective actions • Prepare audit reports and communicate findings to leadership, providers, coders, and operational stakeholders • Educate physicians, coders, and staff on coding, documentation, compliance requirements, and industry best practices • Research coding and documentation questions to support accurate code assignment and reimbursement • Assign and validate ICD-10-CM, CPT, HCPCS, and modifier usage for professional and facility services • Coordinate responses to external audits and medical record requests • Maintain current knowledge of coding guidelines, payer policies, and healthcare regulations • Collaborate with Compliance, Revenue Cycle, Coding, Clinical, and Operational teams on monitoring activities and compliance initiatives • Perform other duties as assigned

🎯 Requirements

• Coding certification from an accredited source (AAPC, AHIMA, etc.) • 4-8 years of experience, preferred • Undergraduate degree, preferred • Advanced knowledge of healthcare coding, auditing, and compliance principles • Demonstrated expertise in Medical Oncology, Radiation Oncology, and Urology services • Knowledge of CPT, HCPCS, ICD-10-CM, reimbursement methodologies, and healthcare compliance regulations • Strong collaboration and communication skills • Detail-oriented and analytical approach • Commitment to accuracy and continuous learning

🏖️ Benefits

• Medical, dental and vision coverage • Paid time off plan • Health savings account (HSA) • 401k savings plan • Access to wages before pay day with myFlexPay • Flexible spending accounts (FSAs) • Short- and long-term disability coverage • Work-Life resources • Paid parental leave • Healthy lifestyle programs

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