System Compliance Auditor

Job not on LinkedIn

🔥 22 hours ago

🍁 Vermont – Remote

🍁 Vermont – Remote

💵 $30 - $45 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 0%

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The University of Vermont Health Network

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

Healthcare • Education

The University of Vermont Health Network is a collaborative network of hospitals and healthcare providers focused on delivering high-quality, cost-effective healthcare to communities in Vermont and New York. With a commitment to combining community and academic medicine, the network aims to improve patient lives through access to advanced treatment options and compassionate care. The network includes several medical facilities, such as The University of Vermont Medical Center and others, working in synergy to enhance healthcare delivery in the region.

📋 Description

• Identify and assess risks in documentation, coding and billing processes • Assist in avoiding potential fines and penalties from government agencies • Develop and provide orientation training for new providers • Perform annual audits of provider billing • Provide ongoing education to providers and employees involved in preparing or submitting professional bills to federal payers • Report audit findings to billing providers, administrative and clinical leaders, and non-clinical staff • Make recommendations based on audit findings • Collaborate with professional and hospital billing departments, Coding Education, Health Information Management, Revenue Integrity, management, and physician leaders • Identify billing-related risk areas and conduct audits • Recommend measures to reduce risk and promote compliance • Assist with development of the annual Compliance Audit Work Plan • Ensure organizational policies and audit standards conform to applicable requirements • Keep current on applicable state and federal regulations

🎯 Requirements

• Bachelor's degree in business, health care operations or a clinical field required; substantial work-related auditor experience with academic credentials may substitute • Master's degree in business or a health care related field preferred • Must possess certification issued by the American Academy of Professional Coders (AAPC) • CPC-E/M Auditor certification preferred • Five years of work-related experience in coding and billing for professional services • One year of auditing experience • Knowledge of applicable state and federal regulations pertaining to documentation, coding and billing • Ability to conduct audits, identify billing-related risk areas, and recommend measures to reduce risk and promote compliance

🏖️ Benefits

• Full-time employment • Standard hours: 40 • Day shift • No weekend requirements