Serene Health · 3 weeks ago
Healthcare Compliance Auditor
Serene Health is part of Optima Medical Management Group, dedicated to enhancing quality of life through wellness promotion. The Healthcare Compliance Auditor is responsible for ensuring the integrity and accuracy of patient information within Health Information Technology systems, navigating health plan Electronic Medical Records to maintain quality assurance and compliance with industry standards.
Health CareHospitalMental HealthTherapeutics
Responsibilities
Identify, assess, correct, and monitor critical aspects of patient data while adhering to strict guidelines set by the Department of Health Care Services (DHCS) and Health Care Providers
Understand and apply practices and procedures established by DHCS and Providers
Navigate and work proficiently with multiple health plan EMR systems
Collaborate with various departments to ensure quality standards are met throughout the production process
Monitor and identify key errors within patient information
Prepare detailed audit reports and present findings to management
Comply with organizational guidelines and health care laws and regulations, including HIPAA
Perform other duties as assigned
Qualification
Required
High school diploma or GED required
Minimum of 1 year of experience in quality assurance auditing or a healthcare role required
Proficiency in Microsoft Office Suite and quality management software
Effective and professional communication skills, both written and verbal
Excellent analytical and problem-solving skills
Strong attention to detail and organizational skills
Preferred
Bachelor's in a related field
Bilingual in Spanish
Benefits
Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.
Short & Long-Term Disability Benefits: Protection when you need it most.
Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
Flexible Spending Accounts: Manage your finances with flexibility.
Employee Assistance Program (EAP): Support when life throws challenges your way.
401(K): Building your financial future with us. Effective after 1 year of employment.
Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
Paid Holidays: Quality time to enjoy celebrations.
Employee Referral Program: Share the opportunities and reap the rewards.
Company Discount Program: Enjoy savings on everyday expenses and memberships.