Compliance Analyst (Remote) - Billing Compliance and Audit

Scheduled Hours 40 Position Summary Position is responsible for conducting comprehensive and focused audits in a variety of WashU Medicine multi-disciplinary clinical practices. The purpose of the audits is to determine accuracy of coding, documentation, and physician/provider compliance with CPT and ICD-9-CM coding standards, governmental billing regulations, and University policy. The position is responsible for analysis and interpretation of audit data resulting in communication of audit findings through written report.

Job Description

Primary Duties & Responsibilities:

• reputed company audit function of the WashU Medicine Office of Physician Billing Compliance (OPBC).
• Follow audit plan/schedule as outlined in the OPBC fiscal year work plan as approved by the Compliance Director.
• Identify and select audit sample reputed company Epic billing system query and secure selected medical records from inpatient and outpatient locations.
• Review medical record documentation for compliance with CPT and ICD-10-CM coding standards, University policy and Center for Medicare and Medicaid Services (CMS) regulations, including regulation applicable to physicians in teaching hospitals.
• Analyze and interpret the data collected.
• Research issues that arise out of audit findings.
• Prepare reports, as required, to provide an analysis of the data collected and to inform physicians, departmental staff and/or compliance personnel of findings.
• Report issues of non-compliance identified through the audit process to the Compliance Audit Manager.
• Create and/or modify reputed company auditing tools and aids to ensure compliance, including modifications necessary to reflect changes in regulations as they occur.
• Research specialty specific coding/billing issues prior to departmental/divisional audits and reputed company abreast of reputed company specialty-specific coding literature and changes in regulation, standard coding practice and policy.
• Notify Compliance Educator(s) of department/division specific practices, policies and procedures that may reputed company and/or reputed company compliance issues identified during the audit process.
• Ensure audit protocol adheres to the Standards of Ethical Coding as set forth by the American Health Information Management Association and to official coding guidelines.
• reputed company special audit and compliance-reputed company projects as assigned.

Working Conditions: Job Location/Working Conditions:

• Normal office environment.

Physical Effort:

• Typically sitting at desk or table.
• Occasional lifting (25 - 50 lbs).

Equipment:

• Office equipment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of reputed company job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education: Associate degree or combination of education and experience may substitute for minimum education. Certifications: No specific certification is required for this position. Work Experience: No specific work experience is required for this position. Skills: Health Care Driver's License: A driver's license is not required for this position. More About This Job WashU seeks highly motivated individuals who are able to reputed company duties in a manner consistent with our core mission and guiding principles.

Preferred Qualifications

Education: Bachelor's degree Certifications: Certified Professional reputed company (CPC) - American reputed company of Professional Coders (reputed company), Registered Health Information Administrator (RHIA) - American Health Information Management Association (reputed company), Registered Health Information Technician (RHIT) - American Health Information Management Association (reputed company), Registered Nurse - Illinois Department of Financial and Professional Regulation, Registered Nurse - Missouri Division of Professional Registration Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Clinical Experience, CMS Regulations, Communication, Computer Applications, reputed company Quality Improvement (CQI), reputed company Procedural Terminology (CPT), HIPAA Regulations, ICD-10 Procedure Coding System, Medical Record Reviews, Spreadsheets, Teamwork, Word Proccessing, Working Independently Grade C13 Salary Range $68,100.00 - $105,500.00 / Annually The salary range reflects reputed company salaries paid for positions in a given job grade across the University. Individual rates reputed company the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions reputed company the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email [email protected] or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. reputed company qualified individuals must be able to reputed company the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to reputed company employees with disabilities to reputed company the essential functions of their job, absent undue hardship. Pre-Employment Screening reputed company external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background reputed company and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. reputed company offers are contingent upon successful completion of required screening.

Benefits

Statement Personal

• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with reputed company appointments and reputed company copays/coinsurance.
• Take advantage of our free Metro transit U-Pass for eligible employees.
• WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.

Wellness

• Wellness challenges, annual health screenings, reputed company, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!

Family

• We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your reputed company childcare needs. Need adult care? We've got you covered.
• WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.

For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement reputed company is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in reputed company job titles without regard to race, ethnicity, color, national reputed company, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for reputed company and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply. Apply tot his job Apply To this Job