Compliance Auditor - Billing

Thomas Jefferson University

Philadelphia, Pennsylvania, United States of America
Not specified; not specified; comprehensive benefi...
Clinical expertise combined with billing knowledge
Analyzing medical records and coding accuracy
Validating patient charges against documentation
The Compliance Auditor utilizes a unique combination of clinical expertise and billing knowledge to monitor the quality of clinical and financial documentation

Job Summary

  • The Compliance Auditor utilizes a unique combination of clinical expertise and billing knowledge to monitor the quality of clinical and financial documentation.
  • Jefferson Health is nationally ranked as one of the top 15 not-for-profit health care systems in the country serving millions of encounters annually.
  • Employees receive comprehensive benefits including medical, dental, vision, life insurance, retirement plans, and tuition assistance at Thomas Jefferson University.

Matching Summary

The Compliance Auditor utilizes a unique combination of clinical expertise and billing knowledge to monitor the quality of clinical and financial documentation.

Salary

Not specified; Not specified; Comprehensive benefits package including medical, dental, vision, life, disability, retirement, and tuition assistance

Skills & Requirements

Must-have

  • Clinical expertise combined with billing knowledge
  • Analyzing medical records and coding accuracy
  • Validating patient charges against documentation
  • Ensuring compliance with payer regulations
  • Developing complex audit processes and tools

Nice-to-have

  • Collaborative approach to process improvement
  • Experience identifying data trends and patterns
  • Educational skills for provider training
  • Strong communication with diverse staff

Key Requirements

  • Bachelor's degree in Health Information Management or related field
  • Minimum three years progressive experience in coding and reimbursement audits
  • Required certification: CPC, CCS-P, RHIA, RHIT, COC, or CIC
  • Epic certification or prior Epic system experience

Work Rights

Not specified

Tailored Resume

Cover Letter