Medical Coding Auditor

Full Time
Providence, RI
$67,018 - $110,573 a year
Posted
Job description

Lifespan is principal teaching hospital for the Warren Alpert Medical School of Brown University and the largest healthcare system in Rhode Island.

Position Summary:

As Rhode Island’s largest health system and private employer, Lifespan is dedicated to improving the health of the people within our communities. We are seeking a Medical Coding Auditor (Medical Coding) to join our corporate compliance team.

Responsibilities:

  • Develops and provides compliance training to employee and physician staff.
  • Conducts retrospective audits of Life Chart documentation to assess billing, coding, patient care and compliance with Lifespan general and specific policies and federal and state regulations.
  • May participate in compliance investigations in those areas of risk identified by federal and state regulators.
  • Provides a written summary of work, where problems are found makes recommendations to correct.
  • Provides functional guidance and direction to less experienced clinical compliance audit staff.

Qualifications:

  • Three years recent, professional-level health care organization experience.
  • A minimum of one to two years of audit/compliance experience is desirable, preferably with a healthcare organization or third-party payer.
  • One-year on-the-job experience to gain specific knowledge of federal and state regulatory issues relating to healthcare, and to become familiar with the full range of auditing activities.
  • In-depth understanding of the structure and objectives of a healthcare compliance program.
  • Bachelor’s degree in health science profession is preferred; a Master’s degree in a relevant field is a plus.
  • Requires a CPC, CCS-P or other nationally recognized coding certification.

APPLY TODAY -- You will be contacted with additional details.

About Lifespan:

Lifespan, Rhode Island's first health system, was founded in 1994 by Rhode Island Hospital and The Miriam Hospital. A not-for-profit comprehensive, integrated, academic health system with The Warren Alpert Medical School of Brown University, Lifespan's present partners also include Rhode Island Hospital's pediatric division, Hasbro Children's Hospital; Bradley Hospital; Newport Hospital; Gateway Healthcare; and Coastal Medical.

Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.

Job Type: Full-time

Pay: $67,017.60 - $110,572.80 per year

Work Location: In person

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