Senior Compliance Auditor

Location
Harrisonburg, VA
Salary
Competitive
Posted
Feb 25, 2019
Closes
Apr 17, 2019
Ref
121428BR
Function
Nurse
Industry
Healthcare
Hours
Full Time
Overview:

Sentara Healthcare is hiring a full time Senior Compliance Auditor. Position is can be based in Norfolk or Harrisonburg.

Position Overview
  • Travel to Sentara's extended sites outside of Hampton Roads required approximately 35% of the time.
  • Analyze compliance and internal process risks for all Sentara Divisions.
  • Assist the Compliance department in risk analysis, planning, auditing and program development for compliance activities throughout Sentara.
  • Participate in compliance and fraud investigations.
  • Provide consultation and education for Sentara staff impacted by compliance activities.
  • Acts as a resource for compliance, coding, charge capture and third party reimbursement regulations and rules.
  • Management of multiple projects and supervision of audit projects for staff.
Requirements
  • Education
    • Bachelor's Degree Business Administration, HIM, Health Administration or similar degree
  • Experience
    • Accounting/Auditing - 5 years
    • Medical Coding - 1 year preferred
    • Healthcare - 1 year
    • Risk Planning - 1 year
    • Risk Planning/Compliance - 2 years
    • Healthcare Billing - 2 years
  • License/Certification
    • Cert Coding Specialist OR Cert Professional Coder OR Certified Outpatient Coder
Sentara Overview
For more than a decade, Modern Healthcare magazine has ranked Sentara as one of the nation's top integrated healthcare systems. Our not-for-profit system proudly includes advanced imaging centers, nursing and assisted-living centers, outpatient campuses, physical therapy and rehabilitation services, home health and hospice agency, a 3,800-provider medical staff and four medical groups. In addition, we provide medical transport ambulances and Nightingale air ambulance, and we extend health insurance to 445,000 people through Optima Health, our award-winning health plan. Sentara Benefits
As the third largest employer in Virginia, Sentara Healthcare was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
  • Medical, Dental, and Vision Insurance
  • Paid Annual Leave, Sick Leave
  • Flexible Spending Accounts
  • Retirement funds with matching contribution
  • Supplemental insurance policies, including legal, Life Insurance and AD&D among others
  • Work Perks program including discounted movie and theme park tickets among other great deals
  • Opportunities for further advancement within our organization
Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For information about our employee benefits, please visit: https://www.sentaracareers.com/explore-sentara/benefits/

Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development and growth!



Other
Travel to Sentara's extended sites outside of Hampton Roads required. Healthcare and Clinical Experience preferred. Required to manage multiple projects simultaneously and supervise audit projects for the staff. Bachelor's level degree in Business Administration, HIM, Health Administration or similar degree. 2-5 years experience required in Healthcare Billing/Revenue Cycle. 2-5 years experience required in Risk Planning/Compliance. 1 year knowledge of coding and billing rules required. AAPC/ AHIMA Coding certification CPC, CPC-H, CCS, CCS-P or RHIT required Healthcare Compliance Certificate (CHC), Certified Internal Auditor (CIA) preferred

Responsibilities:

Analyze compliance and internal process risks for all Sentara Divisions. Assist the Compliance department in risk analysis, planning, auditing and program development for compliance activities throughout Sentara. Participate in compliance and fraud investigations. Provide consultation and education for Sentara staff impacted by compliance activities. Acts as a resource for compliance, coding, charge capture and third party reimbursement regulations and rules.

Qualifications:

Education Level
Bachelor's Level Degree

Experience
Required: Accounting/Auditing - 5 years, Healthcare - 1 year, Risk Planning - 1 year

Preferred: Coding - 1 year, Healthcare Law - Previous experience

License
Required: Cert Coding Specialist, Cert Professional Coder, Certified Outpatient Coder

Preferred: Certified Internal Auditor, Healthcare Compliance Cert, Reg Health Information Tech

Skills
Required:

Preferred: None, unless noted in the "Other" section below

Similar jobs

More searches like this