Home > Medical Coding Jobs > California > Senior Compliance Auditor Job in Roseville

Senior Compliance Auditor Job in Roseville, California

It is the responsibility of the job seeker to validate the information posted for each job. AAPC cannot validate or guarantee the accuracy of the information posted below.


Job Title: Senior Compliance Auditor

Employer:Sutter Health
Skills:Auditing,Compliance,Coding,Billing
Required Certifications:or CRC,CPC,CCS
Required Experience:3 to 4 years
Location:Roseville, CA
Date Posted:3/11/2020

The Senior Compliance Auditor will primarily provide auditing oversight of the Risk Adjustment and Hierarchal Condition Categories (HCC) coding and billing audits, as well as assisting with compliance reviews, investigations, and other projects, supporting the department’s mission of fostering a culture of ethics and compliance through the implementation of a proactive, collaborative, and reliable ethics and compliance program.  The Senior Compliance Auditor is responsible for management, implementation and delivery of assigned audit phases, including planning, fieldwork, and reporting of HCC Risk Adjustment, Healthcare Effectiveness Data and Information Set (HEDIS) and other reporting.

 

Qualifications:

·         Minimum Education: Bachelor’s degree in a related field or combination of experience/education required.

·         Minimum Years of Experience: 3 years of directly related experience as an RADV or HCC Risk Adjustment Auditor with operational audit experience in RADV or other high-risk coding platforms.

·         Substitutable Education & Experience: A Bachelor’s degree and 3 years of experience can be substituted for the following combinations of education/experience: High School Diploma with 7 years of directly related experience; Associates Degree with 5 years of directly related experience.

·         Required Certifications/Licensure: Certified Professional Coder (CPC), Certified Risk Coder (CRC), or other comparable coding certification.

 

Additional Qualifications:

·         Strong analytical and problem-solving skills;

·         Ability to articulate orally and in writing an understanding of complex issues and detailed action plans;

·         Proficient in utilization of electronic health records, (e.g. Epic);

·         Proficient in Audit Reporting and oversight of Risk Adjustment or HCC program;

·         Leading a variety of independent assurance, operational and regulatory reporting processes;

·         Presentation skills;

·         Proficiency in Microsoft Office

Applying


Looking for Exhibiting Opportunities or Group Discounts?

Contact us at 844-825-1679.