Medical Billing Compliance Auditor

Role Overview

• Ensures that compliance initiatives are met for all the NorthStar client sites
• Responsible for investigating potential compliance issues linked to clinical and billing activities
• Supports the compliance team by performing quality, internal audits and monitoring essential services in compliance with federal and state laws and regulations
• Coordinates with Compliance Director and Chief Compliance Officer on any billing compliance investigations
• Reviews and audits documentation in the medical records and charges submitted including CPT and ICD-10 information to ensure compliance
• Analyzes billing trends to identify areas of non-compliance and prepares regular reports on audit findings to Compliance Director
• Collaborates with the Compliance Team to develop annual audit work plans

Requirements

• 1 to 3 years applicable compliance experience, in healthcare industry preferred
• CPC certification required
• 4 years of healthcare billing and coding experience preferred
• Excel and Power Point knowledge preferred

Benefits

• Competitive salary
• Health insurance
• 401(k) matching
• Paid time off
• Remote work options