Revenue Compliance Auditor jobs in United States
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Hartford HealthCare · 5 months ago

Revenue Compliance Auditor

Hartford HealthCare is Connecticut’s most comprehensive healthcare network, and they are seeking a Revenue Compliance Auditor to contribute to the success of the Office of Compliance and Integrity. The role involves executing clinical documentation, coding and billing audits, assessing compliance with regulations, and collaborating with stakeholders to address audit findings.

Health CareHealth DiagnosticsHospitalOncologyPharmaceuticalRehabilitation
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H1B Sponsor Likelynote

Responsibilities

Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director
Maintains organized files to support audit observations and drafts related audit reports in accordance with agreed upon standards in a timely manner
Collaborates with business owner to develop agreed-upon action plans to address findings identified during an audit
Communicates audit results and corrective action plans to audit stakeholders
Monitors progress of corrective actions and provides status reports to leadership
Independently validates that corrective action plans are implemented as intended
Stays up to date on documentation, coding and billing regulations and requirements via professional organizations and through independent research and education on payor rules, requirements and regulatory guidelines (HHS/OIG, Medicare, Medicaid, NGS, Commercial Insurers, etc)
Assists with review and/or investigation of Compliance Line reports as requested by the Manager or Director
Assists with the development and revision of HHC and Department Policies and Procedures
Participates in the annual and ongoing risk assessments to develop and revise the Revenue Compliance Work Plan

Qualification

Healthcare compliance experienceExcel skillsAnalytical problem solvingVerbal communicationWritten communicationGeneral technology knowledgeMulti-taskingRelationship buildingAttention to detailOrganizational skills

Required

Bachelor's Degree Required
A minimum of two (2) years of health care compliance experience, preferably in a large Healthcare system setting or in a consulting capacity
Strong Excel skills, including the ability to organize data, enter formulas, and create reports
Excellent verbal and written communication skills
Strong general technology knowledge
Proven ability to provide support to multiple users with varying needs
Proven experience building and maintaining relationships
Strong attention to detail and advanced organizational skills
Proven ability to handle multiple tasks at once
Proven analytical problem solver
Strong organizational skills with the ability to successfully manage multiple priorities

Benefits

Competitive benefits program designed to ensure work/life balance

Company

Hartford HealthCare

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Hartford HealthCare is a group of hospitals that offers complete healthcare services including cancer care, rehabilitation and pharmacy.

H1B Sponsorship

Hartford HealthCare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (2)
2023 (4)
2022 (6)
2021 (4)
2020 (8)

Funding

Current Stage
Late Stage
Total Funding
$150M
Key Investors
Connecticut Health and Educational Facilities Authority
2024-04-01Debt Financing· $150M

Leadership Team

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Jeffrey Flaks
President & Chief Executive Officer, Hartford HealthCare
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Bimal Patel
Executive Vice President/ Chief Operating Officer
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Company data provided by crunchbase