Philadelphia, Pennsylvania, United States of America
Not specified; not specified; comprehensive benefi...
Clinical documentation analysis
Medical coding validation
Billing and payment record auditing
The Compliance Auditor monitors and improves the quality of clinical and financial documentation by comparing records to ensure patient charges are supported
Job Summary
The Compliance Auditor monitors and improves the quality of clinical and financial documentation by comparing records to ensure patient charges are supported.
This role requires evaluating coding accuracy, ensuring compliance with governmental and third-party payer regulations, and developing complex audit processes.
Jefferson Health offers a comprehensive benefits package including medical insurance, retirement plans, and tuition assistance for eligible colleagues.
Matching Summary
The Compliance Auditor monitors and improves the quality of clinical and financial documentation by comparing records to ensure patient charges are supported.
Salary
Not specified; Not specified; Comprehensive benefits package including medical, dental, vision, life, disability, retirement, and tuition assistance
Skills & Requirements
Must-have
Clinical documentation analysis
Medical coding validation
Billing and payment record auditing
Government payer regulation compliance
Risk identification and reporting
Nice-to-have
Process improvement strategies
Collaborative team environment
Data trend analysis skills
Provider education support
Key Requirements
Bachelor's degree in Health Information Management or related field
One of: CPC, CCS-P, RHIA, RHIT, COC, or CIC certification
Minimum 3 years experience in coding, reimbursement, and compliance audits