Enterprise Compliance Auditor - Educator
Core
Ensures compliance with federal healthcare program rules and regulations by developing policies, conducting audits, and educating staff on regulatory requirements.
Role type
Senior compliance auditor and educator (healthcare)
Builds
Compliance programs, audit reports, and educational training materials for a multi-state hospital system
Domain
Healthcare administration and regulatory compliance
Required skills
Knowledge of hospital revenue cycle processes, understanding of federal and state healthcare regulations, data analytical reporting, regulatory research, audit planning and execution, corrective action development, educational presentation delivery
Preferred skills
HCCA Certified in Healthcare Compliance (CHC) certification, excellent presentation skills, ability to utilize electronic medical record and billing systems
Technologies
Electronic medical record systems, billing systems
Responsibilities
Develop and monitor policies to ensure compliance with federal and state regulations; formulate audit scope and objectives; conduct compliance audits and reviews to identify fraud, waste, and abuse; analyze charge capture and coding processes; author formal audit reports and recommendations; lead meetings to review audit findings and develop corrective action plans; conduct and facilitate educational activities and training for the compliance department
Seniority
Mid-to-Senior level, independent contributor
