Montefiore Orthopedics

**City/State:**Bronx, New York**Grant Funded:**No**Department:**Compliance - Education And Audits**Work Shift:**Day**Work Days:**MON-FRI**Scheduled Hours:**8:30 AM-5 PM**Scheduled Daily Hours:**7.5 HOURS**Pay Range:**$81,600.00-$102,000.00**Job Summary** Safeguards Montefiore Medical Center revenue and reputation, through the following activities: • Participates in external government audits, including:* NY Office of Medicaid Inspector General (OMIG)* Office of Inspector General (OIG)* Medicaid Fraud Control Unit (MFCU)* NY Attorney General (AG)* NY Department of Health (DOH)* Centers for Medicare and Medicaid Services (CMS)* National Government Services (NGS)* Medicaid Integrity Program Contractor (MIC)* Recovery Audit Contractor (RAC)* Zone Program Integrity Contractor (ZPIC)* Health Care Fraud Prevention and Enforcement Action Team (HEAT)• Communicates with external agencies regarding audits. • Participates in development of voluntary disclosures and repayments to federal and...

A leading healthcare organization in New York seeks an experienced Compliance Auditor to enhance revenue protection and compliance through government audits and medical record reviews. Responsibilities include conducting audits, developing education sessions for 500+ staff, and ensuring adherence to coding regulations. Applicants should have a Bachelor's Degree and substantial experience in billing and coding, along with strong analytical and communication skills. This is a full-time position with a focus on continuous compliance improvement. #J-18808-Ljbffr