Compliance Auditor - remote SD, ND, MN, IA, NE
Sanford Health - Hillsboro, ND
posted 16 days ago
About the position
Responsible for conducting internal audits and monitors to ensure that the organization's processes and operations are in compliance with laws, corporate guidelines, best practices, and contractual agreements. Knowledgeable of general audit concepts and techniques, including the type of audits, the approaches and processes, and the subsequent activities, as they relate to internal audits. Demonstrates the ability to interpret Federal rules and regulations. Demonstrates the ability to research regulation from various data sources. Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in Current Procedural Terminology (CPT), International Classification of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment. Demonstrates both knowledge and application of Sanford Health Systems, policies, procedures, and guidelines. Demonstrates commitment to continuous learning for themselves and performs as a role model to other coding staff.
Responsibilities
- Conduct internal audits to ensure compliance with laws and corporate guidelines.
- Monitor organizational processes and operations.
- Interpret Federal rules and regulations.
- Research regulations from various data sources.
- Analyze patient records for non-conformances in coding.
- Apply Sanford Health Systems policies and procedures.
- Serve as a role model for other coding staff.
Requirements
- High school diploma or equivalent preferred.
- Advanced diploma or degree in Health Information Management or healthcare related field is preferred.
- Two years' experience in relevant compliance work is required.
- Certification in RHIA, RHIT, CCS, CPC, or equivalent is required.
- CHA certification to be completed within one year of employment is preferred.
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- 401(k) retirement plan
- Work/life balance benefits
- Generous time off package
