Full Time
erlanger
Chattanooga, TN, USA
Description: Job Summary\: The Compliance Auditor/Monitor has the primary responsibility of developing, implementing and conducting compliance reviews for both multi-specialty professional services and hospital services under the direction of the Manager of Compliance Auditing and Monitoring Services. All such reviews for both professional and hospital claims must be performed in accordance with requirements of Centers for Medicare and Medicaid (CMS) and the Compliance Audit Methodology. In this role, the Compliance Auditor will lead, provide expert technical skills, and assist with highly visible, sensitive, and multifaceted auditing and monitoring projects. He/She will evaluate compliant billing, documentation, and coding requirements, summarize findings, and propose recommendations for multi-specialty professional services and hospital claims. The Compliance Auditor will help determine if corrective action plans are needed to mitigate any risks identified in the audit. The...