Compliance Auditor - Billing

Jefferson Health

Philadelphia, PA, United States
Clinical expertise and billing knowledge
Monitor and improve quality
Compare clinical and financial records
The Compliance Auditor monitors and improves the quality of clinical and financial documentation related to the provision of patient services by comparing clinical and financial records to ensure documentation supports patient charges

Job Summary

  • The Compliance Auditor monitors and improves the quality of clinical and financial documentation related to the provision of patient services by comparing clinical and financial records to ensure documentation supports patient charges.
  • The role involves performing audits of clinical documentation and billing records, evaluating coding and billing performance, and preparing reports to assist Compliance Educators in identifying areas of risk.
  • Jefferson offers a comprehensive package of benefits including medical, dental, vision, retirement plans, and tuition assistance, with tuition discounts available at Thomas Jefferson University.

Matching Summary

The Compliance Auditor monitors and improves the quality of clinical and financial documentation related to the provision of patient services by comparing clinical and financial records to ensure documentation supports patient charges.

Skills & Requirements

Must-have

  • clinical expertise and billing knowledge
  • monitor and improve quality
  • compare clinical and financial records
  • codify and quantify findings
  • audit clinical documentation
  • evaluate appropriateness of billing
  • identify patterns or trends

Nice-to-have

  • collaborative process improvement
  • interact with co-workers
  • values of Jefferson

Key Requirements

  • Bachelor’s degree in Health Information Management
  • CPC, CCS-P, RHIA, RHIT, COC, or CIC certification
  • Epic certification or experience
  • Minimum three (3) years of progressive experience

Work Rights

Not specified

Tailored Resume

Cover Letter