Compliance Auditor

at  Jordan Valley Community Health Center

REQUIRED QUALIFICATIONS:

• Minimum of two years in compliance/coding auditing.

PREFERRED QUALIFICATIONS:

• Associates/Bachelor’s Degree in Health Information Technology
• Certification in Healthcare Compliance (CHC) via Health Care Compliance Association (HCCA).
• Recognition as Certified Professional Coder (CPC) via AAPC or Certified Coding Specialist (CCS/CCS-P) via AHIMA.

• Completes compliance Evaluation and Management (E&M) documentation audits, and audits of the 340B pharmacies to promote documentation improvement and assure compliance with government oversight.
• Responsible for additional operational and compliance auditing processes as assigned, to include but not limited to reconciliation of variances, benchmarking, facilitation of peer reviews, and targeted service or business practice audits.
• Demonstrates proficiency with working within various Microsoft products such as Excel, and software systems including but not limited to electronic health record systems, 340B third party administrator software systems.
• Works with established 340B manager for cross training, reporting audit findings and providing follow up activities and reporting as requested.
• Initiates and implements training and education process improvements to achieve compliance and revenue enhancement for the organization when issues are identified in audits completed. This includes but is not limited to initial and on-going education with providers, and training and education as new service lines are implemented.
• Compiles audit results and creates requested reports tailoring to appropriate audiences. Identifies, reports and implements corrective action or education as appropriate.
• Provides routine benchmarking data to the providers and medical director for review and identifies areas for improvement, and provides education for achievement of this goal.
• Facilitates other on-going or periodic compliance audits as assigned per annual work plan following the same plan to include process improvement and education opportunities and implementation.