Compliance Auditor

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $58.5k - $82k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🔎 Auditor

👻 Ghost score 3%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Ovation Healthcare

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 45 years

💼 Consulting

📦 Logistics

🏭 Manufacturing

Consulting • Logistics • Manufacturing

Ovation Healthcare is a leading provider of shared services for independent hospitals and health systems. With over 45 years of experience, the company enhances hospital and system performance through services like leadership advisory, supply chain management, revenue cycle management, technology services, and clinical care management. Ovation Healthcare is dedicated to supporting the financial and clinical needs of hospitals while preserving their focus on patient care and community wellness. Their educational programs and consulting services aim to strengthen hospital operations, making healthcare delivery more efficient and effective.

📋 Description

• Perform and assist with internal and external, concurrent, prospective, and retrospective coding audits • Review medical records to determine data quality and accuracy of coding, billing, and documentation • Generate topics for education, training, process changes, risk reduction, and reimbursement optimization • Perform direct coding for assigned clients and provide coding coverage across professional fees, hospital outpatient, surgical, observation, and inpatient specialties • Abstract clinical information and translate medical documentation into diagnoses and procedural codes • Sequence codes according to established guidelines • Assign ICD-10, CPT/HCPCS, and modifiers accurately and timely for billing, reporting, and compliance • Monitor and review client account questions with the coding operational lead and coding director • Interpret regulatory changes and stay current with corporate, state, and federal coding updates • Perform monthly and quarterly staff audits and provide feedback, education, and mentoring • Develop follow-up activities for staff with the Coding Manager • Mentor staff on work tasks and processes • Maintain advanced knowledge of systems and billing requirements and serve as an educational resource • Perform and assist in client chargemaster chart-to-charge audits • Develop audit detail summary spreadsheets and reports addressing coding, documentation, financial impact, and profitability • Participate with leadership in assessing and responding to external audit findings • Attend meetings and interact with leadership to resolve issues and advise on new programs • Assist the coding director with maintaining coding vault assets and reference materials • Develop educational materials with the coding director • Adhere to ruralMED policies, procedures, mission, vision, values, and applicable laws and regulations

🎯 Requirements

• Ten (10) years of medical coding experience required; 15 years preferred • Ability to work independently • High degree of analytic abilities • Proficient with Microsoft Office • Certified Coder, either Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) • Current knowledge of hospital outpatient coding and professional coding required • Knowledge of anatomy, physiology and medical terminology required • Proficient in medical coding including professional fees, hospital outpatient, surgical, observation and inpatient claims • Ability to independently operate within various Electronic Health Records • Current knowledge of ICD-10, CPT/HCPCS, modifiers, coding classification systems, billing, and regulatory and payer guidelines

🏖️ Benefits

• Comprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long-term disability coverage • HSA with employer contributions • Flexible spending accounts for health care and dependent care accounts • Wellness platform with premium incentives • Employee assistance support • Additional voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance • Robust and flexible paid time off offerings • Company paid holidays • 401(k) plan with discretionary employer match opportunities • Professional development opportunities • Company issued equipment