Jun 11, 2024

COMPLIANCE AUDITOR - CORPORATE COMPLIANCE

  • Aspirus Health
  • Wausau, WI, United States

Job Description

Compassion. Accountability. Collaboration. Foresight. Joy.

These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.

Aspirus Health in Wausau, WI. is seeking a Compliance Auditor to join our team!

The Compliance Auditor assists the Vice President and Chief Compliance and Privacy Officer by developing, coordinating and supporting the Compliance Program's Monitoring and Auditing activities of operational processes including but not limited to documentation, coding and billing processes, HIPAA Privacy and Security, and other internal processes and controls to ensure compliance with applicable statutory and regulatory requirements and organizational policies.

These functions may focus on one or more major elements of the Corporate Compliance Program such as Medicare and Medicaid billing, Stark, Anti-kickback, fraud and abuse, HIPAA privacy and security, managed care compliance, anti-trust, labor and employee relations, environmental health and safety matters, various trade practices, and other specific issues, which may arise. Activities may include conducting education, investigations, audits and monitoring of internal processes and controls to ensure compliance with applicable statutory and regulatory requirements and organizational policies.

HOURS: Full-Time 1.0 FTE, 80 Hours Biweekly

Experience/Qualifications

  • Bachelor's degree required; Master's degree or other advanced degree preferred.
  • A minimum of two to five years of experience in a healthcare setting relative to the size and scope of the organization.
  • Minimum 2 years' experience in Healthcare compliance preferred.
  • Experience working on and leading cross-functional projects or with cross functional project teams.
  • Experience working independently and responding to rapidly changing priorities
  • Knowledge and experience in health information management, financial practices and information privacy laws required.
  • CHC/CHPC certification within 2 years.
  • Knowledge of federal and state healthcare compliance-related laws and regulations, specifically the Stark, Anti-Kickback, False Claims, HIPAA, HITECH and state privacy laws.
  • In-depth knowledge of the compliance risk areas associated with the healthcare provider industry, including Documentation, Coding, Billing, and Exclusions.
  • Annual competencies as required by Aspirus and/or various regulatory agencies based on entity and/or job position.


Employee Benefits

  • Full benefits packages available for part- and full-time status.
  • PTO accrual from day one!
  • Generous retirement plan with match available.
  • Wellness program for employees and their families.


Aspirus Wausau Hospital is the flagship of the Aspirus system that serves patients in 14 counties across northern and central Wisconsin, as well as the Upper Peninsula of Michigan. It is a licensed private/not-for-profit facility with 325 beds and staffed by 350 physicians in 35 specialties. Aspirus Wausau Hospital is a Level II trauma center that provides primary, secondary and tertiary care services as a regional referral center. Specialty referral service emphasis exists in cardiology and cardiothoracic surgery, orthopedics and cancer. The hospital has an average daily inpatient census of 220 with approximately 15,000 admissions per year. Outpatient visits exceed 50,000 and there are also more than 24,000 annual emergency department visits. To learn more about Wausau click the following link: Wausau, Wisconsin

Best known for its world-class cardiovascular program, Aspirus Wausau Hospital also provides leading edge cancer, trauma, women's health, and spine and neurological care.

Our Mission: We heal people, promote health and strengthen communities.

Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.

As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.

Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 19 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information visit aspirus.org.

Click here to learn more.

Credentials:
Essential:

* CERTIFICATE IN HEALTH CARE COMPLIANCE
* CERTIFICATE IN HEALTH CARE COMPLIANCE

Credential source:
Essential:

* Compliance Certification Board