What are the responsibilities and job description for the Compliance Auditor position at Merakey?
The Compliance Auditor shall be responsible for conducting audits to determine the accuracy of documentation and related processes in accordance with laws, regulations, program service description, policies and payer requirements.
* Identify compliance concerns and trends to support the development of the annual Compliance Audit Plan
* Perform focused audits based on data mining and analytic findings
* Complete retrospective reviews of service documentation to ensure claims meet payer requirements
* Collect, analyze, interpret, and document information to support audit findings
* Summarize audit findings into formal reports, detailing audit conclusions, and determining recommendations
* Coordinate monitoring of coding and documentation accuracy
* Perform educational training programs consisting of appropriate documentation guidelines and accurate coding to all appropriate personnel
* Maintain abreast of compliance issues related to the healthcare industry, annual coding updates and frequent regulatory changes
* Recommends changes to policies, processes, or procedures
* Performs other duties as assigned by supervisor
BENEFITS
Merakey offers Medical, Dental, Vision insurance plans, competitive compensation plans, Work/Life balance, flexible schedules, cell phone discount plan, employee referral bonuses, tuition reimbursement and much more!
To fill out an on-line application: www.merakey.org/careers
Requisition number: 78988
ABOUT MERAKEY
Merakey is a leading developmental, behavioral health, and education non-profit provider with a fifty-year history. We offer a breadth of integrated services to individuals and communities across the country. Our belief that every individual has the right to achieve growth, dignity, and fulfillment guides all of our decisions. At Merakey, we care about each other and are committed to providing the very best care to those we serve. Merakey strictly follows a zero-tolerance policy for abuse.
Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply.
* Bachelor's Degree, required
* Experience providing services in a healthcare related field, required
* Experience with Rats-stats and/or similar sampling software preferred
* Experience auditing charts, both in the field and in an Electronic Health Record, required
* Demonstrate ability to prioritize and effectively complete tasks timely
* Technical and database management abilities
* Identify compliance concerns and trends to support the development of the annual Compliance Audit Plan
* Perform focused audits based on data mining and analytic findings
* Complete retrospective reviews of service documentation to ensure claims meet payer requirements
* Collect, analyze, interpret, and document information to support audit findings
* Summarize audit findings into formal reports, detailing audit conclusions, and determining recommendations
* Coordinate monitoring of coding and documentation accuracy
* Perform educational training programs consisting of appropriate documentation guidelines and accurate coding to all appropriate personnel
* Maintain abreast of compliance issues related to the healthcare industry, annual coding updates and frequent regulatory changes
* Recommends changes to policies, processes, or procedures
* Performs other duties as assigned by supervisor
BENEFITS
Merakey offers Medical, Dental, Vision insurance plans, competitive compensation plans, Work/Life balance, flexible schedules, cell phone discount plan, employee referral bonuses, tuition reimbursement and much more!
To fill out an on-line application: www.merakey.org/careers
Requisition number: 78988
ABOUT MERAKEY
Merakey is a leading developmental, behavioral health, and education non-profit provider with a fifty-year history. We offer a breadth of integrated services to individuals and communities across the country. Our belief that every individual has the right to achieve growth, dignity, and fulfillment guides all of our decisions. At Merakey, we care about each other and are committed to providing the very best care to those we serve. Merakey strictly follows a zero-tolerance policy for abuse.
Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply.
* Bachelor's Degree, required
* Experience providing services in a healthcare related field, required
* Experience with Rats-stats and/or similar sampling software preferred
* Experience auditing charts, both in the field and in an Electronic Health Record, required
* Demonstrate ability to prioritize and effectively complete tasks timely
* Technical and database management abilities
Recommended Skills
- Analytical
- Auditing
- Claim Processing
- Databases
- Electronic Medical Record
- Mining Data
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