Compliance Medical Auditor

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $24 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 0%

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Ob Hospitalist Group

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2006

🏥 Healthcare

💊 Pharmaceuticals

Healthcare • Pharmaceuticals

Ob Hospitalist Group (OBHG) is the nation’s largest provider of OB/GYN hospitalists and a leader in tailored women’s health solutions. Through our core hospitalist programs and Maternal Health Access Solutions (MHAS), we bring expert obstetric care to hospitals across the country. We partner with hospitals to strengthen maternal safety, reduce physician burnout, and ensure access to quality care for every community we serve. With nearly 2,000 clinicians working alongside local OB/GYNs, OBHG delivers timely, specialized care for every pregnant woman. Headquartered in Greenville, SC, we are dedicated to advancing maternal health nationwide.

📋 Description

• Conduct billing and coding compliance audits of inpatient and outpatient medical records • Review documentation, procedure and diagnosis coding, and evaluation and management coding • Apply state and federal healthcare regulations to compliance questions, projects, and inquiries • Provide coding education for OB hospitalists in collaboration with Commure and Revenue Cycle Management • Conduct compliance education sessions with practitioners and staff • Handle billing and coding compliance inquiries • Assist in developing and rolling out auditing, billing, and coding policies and procedures • Use standardized audit tools, including Healthicity • Plan and perform work according to Compliance Department standards • Create standardized audit finding reports and communicate audit results • Handle telephone calls and screen inquiries professionally • Maintain awareness of compliance projects • Assist Senior Compliance Medical Auditors and Educators with coding compliance audits • Perform Healthmap and EMR access-related duties supporting and backing up the HIM Specialist • Perform other related duties as assigned

🎯 Requirements

• Certified Professional Coder (CPC) from AAPC or Bachelor’s degree • Working knowledge of Medicaid coding regulations is a plus • Awareness of and compliance with HIPAA and related healthcare privacy regulations • Proficiency in Word, Excel, and PowerPoint • Ability to compose letters, memos, and other correspondence • Effective interpersonal skills in interactions with OB Hospitalists and personnel • Ability to work independently with minimal supervision • Ability to work with highly confidential materials • High ethical standards • Experience educating physicians, hospitalists, providers, or staff on coding, charting, documentation, billing, and compliance processes • Strong knowledge of medical terminology, anatomy, coding guidelines, evaluation and management coding, professional billing, and healthcare privacy requirements • Ability to conduct audits, analyze findings, prepare clear audit reports, and communicate recommendations professionally • High attention to detail, sound judgment, and strong organizational skills

🏖️ Benefits

• Paid time off & holidays • Medical, dental, and vision insurance • Health Savings Account with employer contribution or Flexible Spending Account options • Employer Paid Basic Life and AD&D Insurance • Employer Paid Short- and Long-Term Disability • Optional Short Term Disability Buy-up plan • Paid Parental Leave • 401(k) Savings Plan with match • Legal Plan & Identity Theft Services • Mental health support and resources • Mission-based company with an amazing company culture