Compliance Auditor

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🔥 0 minutes ago

🐻 Alaska, California, +5 more states – Remote

🐻 Alaska – Remote 🏄 California – Remote 🦬 Montana – Remote 🌶️ New Mexico – Remote 🌲 Oregon – Remote 🤠 Texas – Remote ☕ Washington – Remote

💵 $3.9k - $6.8k / month

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Providence

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1856

⚕️ Healthcare Insurance

Healthcare Insurance

Providence is a not-for-profit health system committed to providing a wide range of medical services, including primary care, urgent care, pediatrics, maternity care, cancer treatment, and specialized services like neurosurgery and orthopedics. They offer both in-person and virtual care through clinics and a mobile app, ensuring patients can access healthcare conveniently. With a mission rooted in compassion, dignity, and justice, Providence emphasizes serving those who are vulnerable and strives for excellence in healthcare delivery. They are involved in research and innovation, including genomic profiling and clinical trials to improve patient outcomes.

📋 Description

• Conduct audits to evaluate compliance with a wide variety of Federal and State laws, regulatory rules & regulations, PSJH policies and procedures. • Collaborate with Case Management, Utilization Review, Revenue Integrity, Clinical Risk, Internal Legal Affairs and Finance under supervision. • Navigate and analyze data across Clinical EMR and Epic Billing systems, reviewing line-item charges and supporting documentation. • Present audit findings collaboratively to reduce risk within Providence as a system.

🎯 Requirements

• Bachelor's Degree in Business, Healthcare, Finance, or similar field, Or 5 years of recent Hospital Billing auditing, Nurse Auditing, or Hospital billing and coding experience. • 5 years of recent Hospital billing auditing or Hospital coding experience. • Coding Certification from American Health Information Management Association (Preferred)

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work hours • Paid time off