Compliance Auditor

6 days ago

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Talkspace

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Online Therapy • Online Counseling • Unlimited Messaging Therapy • Psychotherapy • Self Care

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Description

• Our mission at Talkspace is to help people heal. To get there, we need exceptionally passionate, bright, and motivated people. Want to help over one million people receive quality mental healthcare? Come join our mission of getting therapy in the hands of everyone! • We are looking for a Compliance Auditor who is responsible for conducting audits of regulatory and contractual compliance at the direction of the Chief Compliance Officer. • This individual will work with the team on the execution of the annual compliance work plan and work closely with the compliance team to address information requests, track issues, and drive remediation strategies. • Internal Controls • Conduct detailed audits of compliance concerns including medical records to ensure accuracy in coding and billing practices. • Review documentation to identify and correct coding and billing errors, ensuring compliance with medical necessity and regulatory guidelines. • Log and track audit results and documentation workflows. • Analyze trends and discrepancies in coding and billing practices, providing actionable insights and recommendations for improvement. • Collaborate with internal teams to improve documentation standards and ensure compliance with relevant regulations. • Independently organize and prioritize audit tasks to meet deadlines, adjusting priorities as necessary. • Participate in process improvement initiatives, team meetings, and department projects to enhance audit workflows and overall efficiency. • Maintain up-to-date knowledge of medical coding standards, HIPAA regulations, and compliance requirements. • Provide recommendations to management on improving coding accuracy, documentation standards, and operational processes. • Reporting • Deliver adequate and timely reporting on the internal control framework and control deficiencies to ensure appropriate communication, documentation, escalation to the compliance officer. • Team Collaboration • Cross functionally collaborate with department heads and build strong communication lines to maintain engagement with process implementation. • Partner closely with Health Information Management and Quality Management teams to aid in audit efficiency and effectiveness, including the collection and delivery of information. • Process Improvement • Assist the Chief Compliance Officer, Risk with the development of the annual audit program. • Performs other related duties as assigned.

Requirements

• 2+ years of relevant compliance auditing experience • Bachelor’s degree in Health Information Management or related field • Professional Designation: CHC or willingness to obtain certification • Experience in evaluating compliance with laws and regulations • Proficiency in medical coding, billing practices and CMS requirements. • Strong analytical skills for identifying trends, addressing discrepancies, and proposing solutions. • Excellent organizational abilities to manage multiple audit tasks and meet deadlines. • Deep understanding of HIPAA regulations, confidentiality, and compliance requirements. • Ability to work both independently and collaboratively with cross-functional teams. • Strong process analysis, risk and control identification, negotiation and problem solving skills • Ability to build and maintain solid relationships across multiple levels of management including communicate with external auditors/consultants • Strong project management skills • Adaptive communication and change management skills • Experience in organizations that use cloud-based/SaaS business systems, build SaaS products, and use agile software development methodology • Ability and willingness to be hands-on and dive into details of processes and operations

Benefits

• Comprehensive Medical, Dental and Vision plans coverage since day one • Pre-tax benefits: HSA/ FSA • 401k Retirement Savings Program with matching up to 4% • Voluntary benefits including disability, basic life or pet insurance, etc. • Monthly Wellness Stipend to promote mental and physical self-care • Flexible PTO and Remote First Environment • Regular team events, including Wellness Workshops and Team Building Events • Free access to Talkspace products for you and one household member, as well as access to a friends and family discount!