Frederick Health
Frederick, MD, USA
Job Summary Supports the Corporate Compliance Specialist, coordinates and conducts internal compliance audits to help ensure compliance with applicable statutory and regulatory requirements and organizational policies and procedures. Identify and resolve operational issues with improvement in the work process. Tracks and trends external audits related to Recovery Audit Contractor (RAC), Certified Error Rate Testing (CERT), Target Probe and Education (TPE), Fraud Waste Abuse (FWA) and other audit request. The Compliance Audit Coordinator position provides guidance, support, and oversight to the organization ensuring effective management of the audit response process for all payers; coordinates with subject matter experts to manage the appeals of the adverse audit determinations as well as the clinical responses provided by Frederick Health; evaluates data associated with audit activities, tracks and measures the effectiveness to responses received. The Compliance Audit...