Senior Corporate Compliance Auditor (Hybrid)

Requirements

• Education: High school diploma or GED required. Bachelor's in healthcare-related field (Healthcare Administration, Health Information Management, Nursing, etc.), business, or other equivalent area preferred.
• Licenses/Certifications: A certification in one of the following:
• Certified Coding Specialist (CCS), or
• Certified Inpatient Coder (CIC), or
• Certified Professional Coder (CPC), or
• Certified Professional Medical Record Auditor (CMPA), or
• Certified Professional Compliance Officer (CPCO), or
• Certified in Healthcare Compliance (CHC), or
• Certified Healthcare Auditor (CHA), or
• Registered Heath Information Technician (RHIT), or
• Registered Health Information Administrator (RHIA), or
• Other equivalent professional certification.
• Experience / Knowledge / Skills:
• Seven (7) years of relevant experience in compliance, auditing, healthcare coding or billing (hospital or physician), healthcare operations, clinical documentation, consulting, or other equivalent area.
• Two (2) years of experience in the healthcare industry is preferred.
• Knowledge of electronic medical record (EMR) and imaging systems, with EPIC experience preferred.
• Strong project management and organization skills, including the ability to prioritize to meet deadlines, manage multiple projects simultaneously, and proactively communicate with leadership and stakeholders.
• Ability to analyze and interpret complex regulations, rules, and requirements.
• Strong analytical and problem solving skills, including the ability to obtain and analyze data and think critically when evaluating problems and making decisions.
• Ability to work independently with strong attention to detail and accuracy.
• Strong customer service and interpersonal skills, including the ability to interact with and build relationships with individuals at all levels of the organization.
• Effective oral and written communication skills, including the ability to create written reports and deliver oral presentations.
• Proficient computer skills, including Word, Excel, and PowerPoint.
• PRINCIPAL ACCOUNTABILITIES
• Leads multiple Corporate Compliance reviews / audits of healthcare coding, billing, documentation, operations, and related areas (e.g., coding assignments, charge capture, clinical documentation, claim submissions, etc.) from planning through completion.
• Develops methods and strategies for monitoring and evaluating the integrity of organization processes and systems.
• Leads Corporate Compliance risk assessment processes and activities, including evaluating enterprise-wide clinical, business, and operational areas for compliance risks, internal control deficiencies, and potential fraud, waste, and abuse.
• Directly accountable for identifying and recommending corrective actions and influencing enterprise-wide practices, outcomes, and process improvements.
• Directly accountable for preparing detailed written reports and presentations, and communicating review findings orally and in writing to executive leadership and various System-level committees.
• Takes the lead on responding to compliance inquiries and guidance requests from across the organization, and conducts complia

Benefits

Additional Information

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position is responsible for leading multiple reviews / audits of healthcare coding, billing, documentation, operations, and related risk areas to support compliance with regulatory standards, internal policies and procedures, and other guidelines. Typically reports to Director, Corporate Compliance. Job Description Location : Memorial Hermann, Memorial City Status : Full time, Hybrid schedule (work onsite 1 day per week) Desired Skill Set: The ideal candidate is an healthcare auditor with a minimum of 7 years auditing experience

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