Compliance Auditor Analyst Syracuse New York United States

State University of New York Upstate Medical University
State University of New York Upstate Medical University

IT, Compliance / Regulatory · Full-time

Syracuse, NY, USA

USD 25.1-42.92 / hour

Posted 6+ months ago
Apply now
Job Summary:

Position Summary:

Under the direction of the Faculty Practice Plan Compliance Officer the main duties for this position include:

  • analysis of professional coding and billing data
  • review of applicable regulations or guidelines
  • professional coding and billing audits of CPT and ICD 10 coding.

Duties/Responsibilities:

  • Analysis of coding and billing data, identification of trends and aberrations
  • Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, CPT and ICD 10 coding, and billing guidelines
  • Interpretation of coding, billing, and regulatory standards

Preparation and completion of audit reports including recommendations, education and corrective action.

Knowledge, Skills and Abilities:

  • Strong computer skills specifically Microsoft word and Microsoft excel applications
  • Strong analytical, problem-solving and time management skills
  • Expertise in report writing and oral communications
  • Ability to interpret regulations, payment and reimbursement systems, billing and coding guidelines and apply standards
  • Familiarity with health information and/or medical records
  • Able to organize work, prioritize assignments and meet deadlines
  • Maintains a professional and cooperative attitude with providers, co-workers and employer
  • Able to maintain confidentiality of all patient information and compliance related information.
Minimum Qualifications:

Associates degree and 2 years experience in healthcare setting. CCCS-P, CCCS, CPC, RHIA or RHIT required.

Preferred Qualifications:

Bachelors Degree; Coding and auditing experience preferred.

Work Days:

Monday–Friday, daytime hours. Hybrid/remote work options may be considered based on department needs and position requirements

Message to Applicants:

Our benefits package includes health, dental and vision insurance, eligibility for employer 401k funding after 1 year (3% quarterly/5% annual on vesting schedule), tuition reimbursement, generous paid time off, including vacation and personal time, paid sick leave, holidays and floating holidays.

G5: $25.10 - $42.92

Please note the salary information shown is a general guideline only. Salaries are based upon candidate skills, experience, and qualifications, as well as internal equity, market and business considerations.

Recruitment Office: MedBest Medical Management

Apply now
See more open positions at State University of New York Upstate Medical University