What are the responsibilities and job description for the Compliance Auditor position at Precision Healthcare Specialists?
POSITION SUMMARY:
Reporting to the VP of Compliance, the Compliance Auditor is responsible for ongoing analysis and review of coding accuracy, medical necessity documentation, and regulatory compliance in patient records.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES:
- Conduct compliance focused monitoring and audits related to coding accuracy, medical necessity, supporting documentation and other operational functions.
- Conducts ad hoc reviews and audits based on high risk, problem prone, or otherwise specified areas.
- Maintains tools, reports, data, metrics, benchmarking, tracking, and trending patient and compliance data.
- Participates in various committees to address risks and opportunities for improvement, to report on compliance data, and collaborate in process improvement initiatives.
- Provide reports to management on compliance metrics and audit findings as requested.