Compliance Auditor

Location: Richmond, VA
Date Posted: 02-15-2018
Position Title: Compliance Auditor
Location: Richmond, VA 23219
Position Status: Direct hire
Salary: negotiable
Shift: Monday – Friday (8am to 5pm)
 
Position Description:
Our client is looking for Compliance Auditor for a position located in Richmond, VA. Needed to perform documentation/chart audits on inpatient and outpatient records, and to provide analysis of the records (provider and facility) reviewed, education and other assistance as needed. Audits to include companies coding and billing (DRG, CPT, ICD-9/10) based on a review of medical record documentation and/or billing claim data. Works to an annual work plan and to manage resources such that the work plan is completed in a timely manner. Interacts independently with all levels of employees. Analyzes an issue, develops a plan to resolve and implements the resolution.
 
Required Education: 
Bachelor's Degree in Business or Healthcare related field

Required Skills: 
Minimum of three (3) years of progressively responsible experience in hospital/physician coding and documentation reviews; healthcare compliance and working with electronic health records.
Previous experience with personal computers and software applications to include Microsoft Word, Excel and PowerPoint.
 
One of the following current AAPC certifications required or successfully obtained within six (6) months from date of hire into position:
  • Certified Professional Coder (CPC)
  • Certified Professional Coder-Hospital (CPC-H)
  • Certified Professional Coder-Payer (CPC-P)
  • CPMA Certified Professional Medical Auditor (CPMA)
or
One of the following current AHIMA certifications required or successfully obtained within six (6) months from date of hire into position:
  • Certified Coding Associate (CCA)
  • Certified Coding Specialist (CCS)
  • Certified Coding Specialist-Physician Based (CCS-P)
     
Desired Skills: 
Two (2) years of auditing work experience
or
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