Compliance Auditor

3 days ago

🇺🇸 United States – Remote

🌾 Iowa – Remote

Although this job is listed in Iowa, this company may be open to hiring remote in other states.

🌾 Nebraska – Remote

Although this job is listed in Nebraska, this company may be open to hiring remote in other states.

+3 more states

🌾 Iowa – Remote 🌾 Nebraska – Remote 🌾 North Dakota – Remote ❄️ Minnesota – Remote 🗿 South Dakota – Remote

💵 $19 - $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

🚫👨‍🎓 No degree required

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Sanford Health

WebsiteLinkedInAll Job Openings

Cancer • Children's • Heart • Orthopedics & Sports Medicine • Women's

10,000+ employees

Founded 1894

⚕️ Healthcare Insurance

Description

• Responsible for conducting internal audits and monitors to ensure that the organization’s processes and operations are in compliance with laws, corporate guidelines, best practices, and contractual agreements. • Knowledgeable of general audit concepts and techniques, including the type of audits, the approaches and processes, and the subsequent activities, as they relate to internal audits. • Demonstrates the ability to interpret Federal rules and regulations. • Demonstrates the ability to research regulation from various data sources. • Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in Current Procedural Terminology (CPT), International Classification of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment. • Demonstrates both knowledge and application of Sanford Health Systems, policies, procedures, and guidelines. • Demonstrates commitment to continuous learning for themselves and performs as a role model to other coding staff.

Requirements

• High school diploma or equivalent preferred. • Advanced diploma or degree in Health Information Management or healthcare related field is preferred. • Prior relevant compliance work experience is preferable. • Two years’ experience is required. • Certification in one of the following is required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or an equivalent. • Certified Healthcare Auditor (CHA) certification to be completed within one year of employment is preferred.