MedStar Health

About this Job: General Summary of PositionAssists in the MedStar Family Choice compliance program related to program integrity. Conducts provider audits to identify and address improper billing practices. We recruit, retain, and advance associates with diverse backgrounds skills and talents equitably at all levels.Primary Duties and ResponsibilitiesAnalyzes current payment policies and makes recommendations to improve program integrity and organizational processes.Assists with and tracks responses to external government inquiries investigations data requests subpoenas and fair hearings. Responds to government requests for claims data/information.Prepares written audit reports and communicates the results to management. Initiates corrective action plans or continuous improvement plans identified through audits.Communicates compliance issues and findings identified through audits and reviews. Prepares written audit reports and communicates the results to management. Initiates...

MedStar Health is seeking a Surgical Service Auditor to review clinical documentation in Perioperative and Procedural departments for charging accuracy, regulatory compliance, and quality outcomes. The role partners with service line managers and supply chain to ensure proper pricing and documented charges across the OR and endoscopy suites. The position supports the revenue cycle and requires an associate's degree or related surgical services training, with RN or CST licensure. #J-18808-Ljbffr

About the Job General Summary of Position Assists in the MedStar Family Choice compliance program related to program integrity. Conducts provider audits to identify and address improper billing practices. We recruit, retain, and advance associates with diverse backgrounds skills and talents equitably at all levels. Primary Duties and Responsibilities Analyzes current payment policies and makes recommendations to improve program integrity and organizational processes. Assists with and tracks responses to external government inquiries investigations data requests subpoenas and fair hearings. Responds to government requests for claims data/information. Prepares written audit reports and communicates the results to management. Initiates corrective action plans or continuous improvement plans identified through audits. Communicates compliance issues and findings identified through audits and reviews. Prepares written audit reports and communicates the results to...