MedStar Health
Washington, DC
Compliance Program AssistantAssists 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.Coordinates monthly exclusion data base checks review and report findings.Completes assigned routine and selected audits all within assigned time frames. Ensures timely completion of risk...