Physician Compliance Auditor

A client of Innova Solutions is immediately hiring for a Physician Compliance Auditor. Position type:
Full‑Time, Contract. Duration: 9 Month.

Location:

Remote.

As a Physician Compliance Auditor, you will:

• Perform annual chart audits and formulate recommendations based upon the audit findings.
• Implement annual coding reviews and ensure that compliance issues and areas of risk are identified and addressed.
• Develop curriculum to orient and educate providers and staff in the specialty clinics to medical record documentation guidelines and standards, and to diagnostic and procedural coding conventions and methodologies.
• Assist in specialty coding educational sessions with Revenue Cycle Management (RCM) and Risk Based Coding.
• Serve as a coding and documentation resource for all physicians, advance‑practice providers, company administrators, and physician practice staff.
• Prepare and submit compliance reports to the compliance committee.
• Serve as a coding and documentation resource to Physician Coding Auditors I and RCM on specialty coding.
• Cross‑train other Physician Coding Auditors in their area(s) of expertise to provide more depth and flexibility to the department.
• Maintain working knowledge of Federal, State, private payer, and other applicable legal and regulatory requirements for the compliance department.
• Participate in special projects as needed.
• Perform other position appropriate duties as required in a competent, professional and courteous manner.

• Knowledge of CPT, ICD‑10 and HCPCS.
• Ability to research topics regarding compliance and coding efficiently and accurately.
• Clear and concise communication of compliance concerns and resolutions to all members of the organization.
• Proficiency in Word, Excel, and PowerPoint.
• Four years of auditing experience.

Certification/Degree Requirements: CPC, CCS, RHIT.

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Skills:

Provider education/audit required, 5 years experience minimum, Epic preferred, Consulting experience highly preferred.

Pay Range: $35–42 per hour (based on education, experience, location, duties, certifications).

Medical & pharmacy coverage, dental/vision insurance, 401(k), HSA, FSA, life insurance, pet insurance, short‑term and long‑term disability, accident & critical illness coverage, pre‑paid legal &  protection, sick time, other types of paid leaves (as required by law), employee assistance program (EAP).

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. We welcome all qualified candidates to apply.

Contact:
Dishank Sharma, 201‑649‑8477.