Associated Medical Professionals of NY, PLLC · 5 months ago
Healthcare Compliance Audit Analyst (Must have CPC, CCS-P, or CPMA)
United States
Full-time
Remote
Mid Level
3+ years expU.S. Urology Partners, LLC (USUP) is committed to promoting ethical conduct and compliance in healthcare. The Compliance Audit Analyst is responsible for conducting audits of physician and facility documentation, ensuring accuracy in billing and coding, and providing education to staff to enhance compliance efforts.
Health CareHospital
Responsibilities
Conduct physician/provider and facility documentation audits
Ensures accuracy of data entered into the CD Internal Audit Database and prepares reports for audited providers, department leadership, and organization leadership
Analyze audit data and provides summary feedback to clinic and billing staff, making recommendations for improvement
Works with the billing and coding departments to determine charge corrections and refunds resulting from compliance audits
Works closely with the billing department to help minimize denial issues so that appropriate reimbursements are achieved
Receives and responds to audit, documentation, and coding review requests from the billing department
Performs research for numerous billing and coding scenarios
Provide input in the development and improvement of procedures used to complete the audit function
Assist in conducting formal/informal education sessions for the purpose of educating and training physicians, non-physician providers, and other staff
Identify additional opportunities to improve education of physicians, non-physician providers and staff
Working with the billing and coding departments, prepare and produce billing/coding/documentation communication for use as guidance documents, website content, newsletter content, education content, and other communication channels
Develop materials for use in education and communication derived from audit findings for feedback to physicians, department billing staff, and other compliance staff
Based on types of questions/issues received, identify education/awareness opportunities and guidance topics
Position requires an individual with expertise in health information and clinical documentation audits
Adherence to internal audit schedule and other deadlines is necessary
Qualification
Required
CPC, CCS-P, or CPMA is required for this position
Experience with using and navigating through an electronic medical record system
Knowledge of state, federal, local, and payer-specific regulations and policies pertaining to documentation, coding, and billing is required
Demonstrated capacity to work independently in an organized, detailed manner while maintaining a collaborative team environment is required
Ability to think abstractly and concretely required
Ability to develop reports, presentations, and spreadsheets required
Strong computer skills including the ability to effectively use software applications such as Microsoft Word, Excel, Outlook, PowerPoint, Access, and Internet Explorer is required
Outstanding verbal and written communication skills is required
Experience in handling complex organizational projects; and an excellent problem identification and solution skill to address difficult, complex issues is required
Ability to gain the trust and confidence of the providers, compliance team and billing staff
Preferred
Bachelor's degree in health administration, health information management, or another related field preferred
Minimum of three years of experience in healthcare compliance, healthcare operations, coding and/or documentation auditing in a healthcare organization is preferred
Benefits
Comprehensive medical, dental and vision plans
HSA / FSA
401(k) matching
Employee Assistance Program (EAP)
Company
Associated Medical Professionals of NY, PLLC
A.M.P. is a group of urologists and oncologist professionals that have been practicing in Auburn, New Hartford, and Syracuse for many years.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Christopher Pieczonka
Chief Executive Officer
Robert Creaven, M.H.A. CMPE
Chief Operating Officer
Recent News
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