• Compliance Auditor

    Requisition ID
    2018-13246
    Shift
    Day
    Category
    Hospital Administration
    Shift Hours AM/PM
    8:00PM-5:00PM
    Department
    SJ CORP COMP
    Position Type
    Regular Full-Time
  • Overview

    St. Joseph’s Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.

     

    Overview

     

    The Compliance Auditor is is responsible for supporting and aiding in the implementation of St. Joseph's Health's Compliance Program. The Compliance Auditor works with the Director of Compliance in the planning and execution of compliance reviews, audits and activities. In consultation with the Director of Corporate Compliance, the Compliance Auditor proactively assesses changes in the regulatory environment; researches, investigates and responds to issues related to documentation, coding and billing. Coordinates and participates in the record/claims audit process, provides documentation and compliance education sessions to physicians and other staff. The Compliance Auditor may assist the Director of Corporate Compliance with other aspects/projects/tasks/reviews of the Compliance Program to assure compliance with applicable state and federal regulations.

     

    Qualifications

    • Bachelor's degree in Business Management or related law/health field.
    • 3-5 years in a healthcare compliance role, or equivalent, with a minimum of 3 years coding and 2 years audit experience in a hospital, consulting firm or practice management setting
    • Familiarity with NJ State DOH and CMS regulations.
    • Proficiency with medical terminology and ICD-10-CM and CPT-4 methodologies
    • Proficiency with physician documentation and reimbursement methodologies
    • Registered Health Information Administrator Certification (RHIA) or Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Registered Health Info Technician (RHIT) license
    • Certification in Healthcare Compliance (CHC) or the ability to obtain within 6 months.
    • Computer proficiency and demonstrated presentation skills required

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