Providence Service

Providence is seeking a Compliance Auditor to work remotely, focusing on evaluating compliance with regulations relevant to revenue cycle operations. The auditor will collaborate with various internal teams to analyze data and present findings to ensure adherence to federal and state laws. The ideal candidate will hold a Bachelor’s degree and have at least 5 years of hospital billing auditing experience. This role offers competitive salary ranges based on location and comprehensive benefits. #J-18808-Ljbffr

Overview Providence requires a Compliance Auditor – Remote. The Revenue Cycle Compliance Hospital Auditor evaluates compliance with federal and state laws, regulatory rules, and Providence policies and procedures across a variety of audit focus areas, including clinical and nonclinical services related to revenue cycle operations. The auditor works collaboratively with Case Management, Utilization Review, Revenue Integrity, the Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs, and Finance under the supervision of the Rev Cycle Compliance Senior Manager. The role involves navigating and analyzing data across clinical EMR and Epic billing systems, reviewing line-item charges, revenue codes, CPT descriptions, status, orders, supporting documentation, and reimbursement. Audit findings are presented verbally and visually to reduce risk within the Providence system. Overpayments received in error are refunded following the CMS Voluntary Self Disclosure...

Providence is looking for a Compliance Auditor – Remote in the Town of Texas. The role involves evaluating compliance with laws and Providence policies across a variety of audit focus areas related to revenue cycle operations. The Auditor will collaborate with multiple internal departments, analyze data across clinical systems, and ensure compliance through audits that may involve refunding overpayments as required by CMS rules. A Bachelors degree in a related field and significant experience are required. #J-18808-Ljbffr

Providence is seeking a remote Compliance Auditor to evaluate compliance with federal and state laws, as well as Providence policies across various audit focus areas. This role involves analyzing clinical EMR and Epic billing data and collaborating with multiple internal departments. The ideal candidate will possess a Bachelor’s Degree in a relevant field and have at least 5 years of auditing experience, ensuring compliance through critical thinking and analytical skills. This position offers various benefits including competitive salary, health care benefits, and retirement savings plan. #J-18808-Ljbffr

Coding Specialist is a nationally certified professional coder who educates and supports Providers, Division Directors/Managers and clinical staff by providing ongoing coding training to ensure adherence to agency regulations. Coders will conduct random chart audits and provide direct feedback to providers. Coders will be responsible for investigating and answering provider coding questions. Coders will review various data/reports and provide additional feedback. Coders will routinely visit Providence Medical Groups (PMG) clinics and attend clinical meetings. Coders will stay current with annual updates to CPT and ICD-10 and HCPCS codes. Providence caregivers are not simply valued – they’re invaluable. Join our team at Physician Management Group in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications:...

Providence is seeking a remote Compliance Auditor to evaluate compliance with federal and state laws, as well as Providence policies across various audit focus areas. This role involves analyzing clinical EMR and Epic billing data and collaborating with multiple internal departments. The ideal candidate will possess a Bachelor’s Degree in a relevant field and have at least 5 years of auditing experience, ensuring compliance through critical thinking and analytical skills. This position offers various benefits including competitive salary, health care benefits, and retirement savings plan. #J-18808-Ljbffr

Providence is looking for a Compliance Auditor – Remote in the Town of Texas. The role involves evaluating compliance with laws and Providence policies across a variety of audit focus areas related to revenue cycle operations. The Auditor will collaborate with multiple internal departments, analyze data across clinical systems, and ensure compliance through audits that may involve refunding overpayments as required by CMS rules. A Bachelor's degree in a related field and significant experience are required. #J-18808-Ljbffr

Overview Providence requires a Compliance Auditor – Remote. The Revenue Cycle Compliance Hospital Auditor evaluates compliance with federal and state laws, regulatory rules, and Providence policies and procedures across a variety of audit focus areas, including clinical and nonclinical services related to revenue cycle operations. The auditor works collaboratively with Case Management, Utilization Review, Revenue Integrity, the Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs, and Finance under the supervision of the Rev Cycle Compliance Senior Manager. The role involves navigating and analyzing data across clinical EMR and Epic billing systems, reviewing line-item charges, revenue codes, CPT descriptions, status, orders, supporting documentation, and reimbursement. Audit findings are presented verbally and visually to reduce risk within the Providence system. Overpayments received in error are refunded following the CMS Voluntary Self Disclosure...

Providence in Spokane, United States is seeking a Coding Specialist to educate providers on coding standards and conduct chart audits. You will also answer coding questions and review financial records. A national certification is required, along with 2 years of experience in medical billing and coding. Join our team focused on whole-person care, where your contributions are valued. We empower our caregivers to provide the best patient care, especially for vulnerable communities. #J-18808-Ljbffr

Description Providence is calling for Compliance Auditor - Remote The Revenue Cycle Compliance Hospital Auditor conducts audits to evaluate compliance with a wide variety of Federal and State laws, regulatory rules & regulations, PSJH policies and procedures. Areas of audit focus for this position may involve clinical and non-clinical services, including but not limited to revenue cycle: Rev Cycle departments, Rev Cycle Billing Offices, External Vendor; HIM Coding, Revenue Integrity RI, Chargemaster CDM, EPIC, and Clinical Documentation CDT. This position works collaboratively with Case Management, Utilization Review, Revenue Integrity, our PB Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs and Finance under the supervision of the Rev Cycle Compliance Senior Manager. The Revenue Cycle Compliance Hospital auditor navigates and analyzes data across both the Clinical EMR and Epic Billing systems. This includes reviewing...