2 jobs found in Bensley

The Enterprise Compliance Auditor/Educator will assist with the implementation and facilitation of ongoing compliance auditing, monitoring, and educations associated with all provider services across WVUHS and its affiliates. The duties of this position will help ensure that all healthcare provider (MD/DO, APP, and other non-physician practitioners) organizations remains in compliance with all federal healthcare program rules, regulations, administrative requirements and guidance. MINIMUM QUALIFICATIONS EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: High School Diploma or Equivalent AND Seven (7) Years of experience in multi-specialty coding, E&M coding, procedural/surgical coding OR ; Associate’s Degree AND Five (5) years experience in multi-specialty coding, E&M coding, procedural/surgical coding. Current certification in one of the following: Certified Professional Coder (CPC)through the American Academy of Professional Coders (AAPC) Registered Health...

West Virginia University Health System is seeking an Enterprise Compliance Auditor/Educator to support ongoing auditing, monitoring, and education across WVUHS and affiliates. The role ensures provider organizations meet CMS, state, and payer regulations, with emphasis on documentation, coding accuracy, and medical necessity. The incumbent will lead audits, prepare comprehensive reports, and deliver education programs for physicians, APPs, and staff. #J-18808-Ljbffr