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

VUMC (Vanderbilt University Medical Center)

Nashville, TN, United States
On-site
Evaluate documentation for standards
Identify compliance risks
Provide education and remediation
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.
  • Leads efforts to understand, develop and deploy Artificial Intelligence (AI) technology in the review/audit process.

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 standards
  • Identify compliance risks
  • Provide education and remediation
  • Quality assurance for audits
  • Research and analyze compliance issues
  • Maintain knowledge of regulatory standards

Nice-to-have

  • Develop and deploy AI technology
  • Enhance audit tools
  • Foster innovation in data analysis

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter