Enterprise Provider Compliance Auditor-Educator

Operations Support Centermid

OtherCompliance Auditor

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Quick Summary

Key Responsibilities

The statements described here are intended to describe the general nature of work being performed by people assigned to this position.

Requirements Summary

EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: 1. High School Diploma or Equivalent AND Seven (7) Years of experience in multi-specialty coding, E&M coding,

Technical Tools

OtherCompliance Auditor

About the Role

~1 min read

The Enterprise Compliance Auditor/Educator will assist with the implementation and facilitation of ongoing compliance auditing, monitoring, and educations associated with all provider services across WVUHS and its affiliates. The duties of this position will help ensure that all healthcare provider (MD/DO, APP, and other non-physician practitioners) organizations remains in compliance with all federal healthcare program rules, regulations, administrative requirements and guidance.

Requirements

~1 min read

1. High School Diploma or Equivalent AND Seven (7) Years of experience in multi-specialty coding, E&M coding, procedural/surgical coding OR;

Associate’s Degree AND Five (5) years experience in multi-specialty coding, E&M coding, procedural/surgical coding.

2. Current certification in one of the following:

Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC)

Registered Health Information Technician (RHIT) through the American Health Information Management Association (AHIMA)

Certified Coding Specialist- Physician (CCS-P) through the American Health Information Management Association (AHIMA)

1. Bachelor’s Degree.

Responsibilities

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1. Knowledge of related provider healthcare compliance, revenue cycle operations, and auditing techniques required.

2. Analytical and problem solving skills.

3. Effective verbal and written communication skills, as well as interpersonal skills necessary to communicate effectively with all levels of management.

4. Capability of working on assignments of varying difficulty and complexity, while exercising independent judgment.

5. Proficient with personal computers and financial application software.

6. Excellent organizational and time management skills.

7. Excellent presentation skills.

8. Ability to utilize electronic medical record and billing systems.

9. Ability to analyze complex EMR workflows related to documentation, billing and etc.

10. Knowledge of governmental billing and coding regulations including the “Teaching Physician Guidelines”.

Day (United States of America)

United States of America (Exempt)

508 SYSTEM Compliance

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.