7 Compliance Auditor Jobs in Tampa, FL
Moffitt Cancer Center is Hiring a Compliance Auditor Near Tampa, FL
- Compliance Auditors conduct Compliance Department audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including detection and correction of documentation, coding, and billing errors. The Compliance Auditor evaluates the adequacy and effectiveness of controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional or hospital documentation, coding and billing, and federal and state regulations and guidelines.
- The Compliance Auditor communicates audit results to physicians, physician leadership, senior management, management, and staff and provides physician and coder education.
- The Compliance Auditor will act as a liaison with assigned faculty members, developing relationships and functioning as a resource to all providers and their staffs and will serve as an institutional subject matter expert and authoritative resource.
- Understanding of institutional risks and appropriate judgment to use a risk-based approach in planning and executing duties.
- Ability to work in both independent contributor and team roles (both as a team leader and team member)
- Ability to communicate complex and potentially sensitive issues to all levels of management including senior leadership.
- Plans and performs scheduled and unscheduled professional or hospital compliance department audits, including accuracy and adequacy of documentation and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews.
- Evaluates the appropriateness of services and procedures billed based on supporting documentation.
- Prepares written reports of audit findings and recommendations and presents to appropriate stakeholders; evaluates the adequacy of management corrective action to improve deficiencies; maintains audit records.
- Conducts risk assessments to define audit priorities by evaluating previous audit findings, management priorities, coding utilization patterns, national normative data, CMS and CCI initiatives, OIG work plans and advisories and healthcare industry best practices.
- Develops compliance training content and provides one-on-one and group training to faculty physicians, advanced practitioners, billing and coding staff and others.
- Conducts compliance orientation training for new providers.
- Researches, abstracts and communicates federal, state and payer documentation, billing and coding rules and regulations. Serves as institutional subject matter expert and authoritative resource in these areas.
- Bachelor's degree in Health Information Management, Business or related field.
- Three (3) years of experience in physician and/or hospital technical coding/auditing, medical necessity reviews, or related work.
- **In lieu of a bachelor’s degree, HS Diploma/GED and seven (7) years of relevant experience will be considered.
- Must possess an AAPC or AHIMA coding certification (CPC, CCS, CCS-P, COC, or RHIA, etc.).
- Extensive knowledge of evaluation and management and/or hospital facility fee coding and auditing.
- Knowledge of Medicare and Medicaid documentation and coding rules and guidelines.
- Ability to interpret and apply documentation and coding rules and regulations and to interpret medical record progress notes, handwritten and electronic chart entries, provider orders and other related documentation.
- Professional and/or hospital services auditing experience in an Academic Medical Center.
- Prior experience working in a Corporate Compliance environment.
- Prior experience working in a Cancer Hospital.
- Prior experience working in a Revenue Cycle Operations role.
- Knowledge of Soarian and/or Soarian PRM applications.
- Knowledge of Cerner Powerchart applications.
Job Summary
Full Time
Ambulatory Healthcare Services
$63k-79k (estimate)
03/21/2023
06/03/2024
moffitt.org
TAMPA, FL
3,000 - 7,500
1986
AMIT MAHIPAL
$1B - $3B
Ambulatory Healthcare Services
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The job skills required for Compliance Auditor include Auditing, Confidentiality, Analytical Skills, Attention to Detail, Communicates Effectively, Initiative, etc. Having related job skills and expertise will give you an advantage when applying to be a Compliance Auditor. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Compliance Auditor. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Compliance Auditor positions, which can be used as a reference in future career path planning. As a Compliance Auditor, it can be promoted into senior positions as a Claims Quality Auditor III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Compliance Auditor. You can explore the career advancement for a Compliance Auditor below and select your interested title to get hiring information.
If you are interested in becoming a Compliance Auditor, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Compliance Auditor for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Compliance Auditor job description and responsibilities
Review business compliance processes as a whole and create a final audit report.
01/24/2022: Cheyenne, WY
Review compliance with related regulations and frameworks.
01/28/2022: Juneau, AK
Checking whether the related entity’s current practices follow the requirement.
02/26/2022: Muskegon, MI
Usually follow a checklist based on the compliance audit guidelines of the standard or regulation that’s being assessed.
03/22/2022: Stockton, CA
Gathers appropriate and sufficient evidence and observes, tests, compares and confirms until gaining reasonable assurance.
03/11/2022: Elyria, OH
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Compliance Auditor jobs
Completion of relevant industry-specific certification, such as a certified internal auditor.
01/29/2022: San Antonio, TX
A minimum of 5 years' auditing experience.
01/27/2022: Monroe, LA
Get a compliance or audit job to get the necessary experience.
03/07/2022: Houston, TX
Bachelor's degree in the relevant industry.
02/05/2022: Brownsville, TX
An in-depth understanding of the industry's rules, guidelines, and regulations.
04/06/2022: Rapid City, SD
Step 3: View the best colleges and universities for Compliance Auditor.
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