MedStar Health
Washington, DC
About this 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 management. Initiates...