Employer Industry: Healthcare Services

Why consider this job opportunity:
- Comprehensive health, vision, and dental coverage starting on day one
- Paid time off (PTO) and tuition reimbursement available
- Employer-matched retirement funds to support your future
- Opportunity to work in a supportive community focused on compassionate care
- Chance to pioneer new models of care and utilize advanced technology
- Recognized as one of the "Top 100 Places to Work" by Modern Healthcare Magazine

What to Expect (Job Responsibilities):
- Support the Compliance Program by partnering with Legal, Human Resources, and other business units
- Conduct audits to ensure compliance with federal and state regulations, Medicare/Medicaid, and Ministry-wide policies
- Interpret medical records, claim forms, and remittance advice to ensure accuracy
- Maintain in-depth knowledge of the False Claims Act and related payment methodologies
- Ensure adherence to documentation requirements for coding and billing in federally funded programs

What is Required (Qualifications):
- Bachelor’s Degree in a related field (nursing, HIM, healthcare administration, etc.) plus 4 years of relevant auditing experience OR 8 years of relevant auditing experience
- Minimum of 4 years of relevant auditing experience
- Current certification in one or more of the following: CCS, CCS-P, CIC, COC, CPC, CRC, CHC, CDIP, CPMA, RHIA, RHIT
- Working knowledge of Microsoft Word, Excel, PowerPoint, and Outlook
- Comprehensive knowledge of rules and regulations pertaining to federally funded programs

How to Stand Out (Preferred Qualifications):
- Master’s or advanced degree in a related field (nursing, HIM, healthcare administration, etc.)
- Experience in audit education and public speaking is strongly preferred

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