Employer Industry: Healthcare Compliance

Why consider this job opportunity:
- Salary up to competitive rates
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits and compensation package
- Engage in meaningful work by preventing healthcare fraud, waste, and abuse
- Supportive and collaborative work environment
- Chance to impact compliance within the healthcare sector

What to Expect (Job Responsibilities):
- Establish a compliance program to prevent and detect violations of laws and regulations
- Conduct audits of medical records to validate coding and billing accuracy
- Identify aberrant coding and billing patterns indicative of potential fraud, waste, and abuse
- Generate timely written reports detailing audit findings for internal and external use
- Provide coding education to providers based on guidelines and regulatory requirements

What is Required (Qualifications):
- Associate degree or equivalent combination of education and experience
- 1-3 years of relevant experience in healthcare compliance or auditing
- Active and unrestricted coding certification (CPC or CCS)
- Strong analytical skills to identify coding and billing discrepancies
- Excellent written and verbal communication skills for reporting and education

How to Stand Out (Preferred Qualifications):
- Bachelor's degree in a healthcare-related field
- 3-5 years of experience in healthcare compliance or auditing
- Familiarity with healthcare regulations and coding guidelines
- Experience in provider education regarding coding practices
- Ability to work independently and manage multiple tasks effectively

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