Principal Compliance Specialist (auditor/clinician Educator) (coding Certification Required) - Hybrid

Vanderbilt University Medical Center Cool Springs

Nashville, Tennessee, US
Evaluate documentation for coverage and accuracy
Identify compliance risks and vulnerabilities
Provide clinician education and guidance
Applies specialized skills and training independently to evaluate and advise whether professional, outpatient and inpatient hospital documentation meets applicable standards for coverage, accuracy, and completeness as well as coding and general compliance

Job Summary

  • Applies specialized skills and training independently to evaluate and advise whether professional, outpatient and inpatient hospital documentation meets applicable standards for coverage, accuracy, and completeness as well as coding and general compliance.
  • Provides hands-on training and day-to-day productivity and quality oversight of Compliance Specialists and Senior Compliance Specialists as well as any external contracted services used by our office for auditing and consulting services.
  • Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity.

Matching Summary

Applies specialized skills and training independently to evaluate and advise whether professional, outpatient and inpatient hospital documentation meets applicable standards for coverage, accuracy, and completeness as well as coding and general compliance.

Skills & Requirements

Must-have

  • Evaluate documentation for coverage and accuracy
  • Identify compliance risks and vulnerabilities
  • Provide clinician education and guidance
  • Quality assurance for auditing and monitoring
  • Research and analyze compliance issues
  • Lead virtual meetings with stakeholders

Nice-to-have

  • Develop and deploy AI technology
  • Enhance audit/review processes
  • Improve accuracy of findings
  • Foster innovation and embrace change

Key Requirements

  • Coding Certification Required (CPC, CCS, COC, RHIA, RHIT, etc.)
  • 7 years relevant work experience
  • Bachelor's Degree

Work Rights

Not specified

Tailored Resume

Cover Letter