Compliance Auditor

Thomas Jefferson University & Jefferson Health
United States, Pennsylvania, Philadelphia
1111 Chestnut Street (Show on map)
Jan 20, 2025
Job Details Job Description EXPERIENCE REQUIREMENTS : Minimum of three (3) years of progressive experience in coding, reimbursement and regulatory compliance audits either through employment, consulting or other appropriate capacity is required EDUCATIONAL/TRAINING REQUIREMENTS : Bacheloras degree in Health Information Management or related field CERTIFICATES, LICENSES, AND REGISTRATION: One or more of the following certifications required: CPC (Certified Procedural Coder), CCS-P (Certified Coding Specialist - Physician) RHIA (Registered Health Information Management Administrator), RHIT (Registered Health Information Management Technician), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), additional certifications in specialty areas is highly encouraged Epic certification or experience with Epic ADDITIONAL INFORMATION: Proven ability to manage change. Strong knowledge of federal and state laws, third-party payer and regulatory requirements. Strong communication and interpersonal skills with a high degree of professionalism related to engaging with clinicians and provider support. Effective problem solving skills. Ability to work in a complex environment with the skills to manage multiple projects and deadlines, establish priorities, set objectives, and achieve stated goals. EXPERIENCE REQUIREMENTS : Minimum of three (3) years of progressive experience in coding, reimbursement and regulatory compliance audits either through employment, consulting or other appropriate capacity is required EDUCATIONAL/TRAINING REQUIREMENTS : Bacheloras degree in Health Information Management or related field CERTIFICATES, LICENSES, AND REGISTRATION: One or more of the following certifications required: CPC (Certified Procedural Coder), CCS-P (Certified Coding Specialist - Physician) RHIA (Registered Health Information Management Administrator), RHIT (Registered Health Information Management Technician), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), additional certifications in specialty areas is highly encouraged Epic certification or experience with Epic ADDITIONAL INFORMATION: Proven ability to manage change. Strong knowledge of federal and state laws, third-party payer and regulatory requirements. Strong communication and interpersonal skills with a high degree of professionalism related to engaging with clinicians and provider support. Effective problem solving skills. Ability to work in a complex environment with the skills to manage multiple projects and deadlines, establish priorities, set objectives, and achieve stated goals. Work Shift Workday Day (United States of America) Worker Sub Type Regular Primary Location Address 834 Chestnut Street, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.