[Remote] Compliance Auditor

Note: The job is a remote job and is open to candidates in USA. Unified Women’s Healthcare is dedicated to supporting Ob-Gyn providers and their practices. The Compliance Auditor will conduct comprehensive audits of care center locations, ensuring compliance with regulatory requirements and providing recommendations for improvement in patient experience and clinical outcomes. Responsibilities • Performs pre-and post-billing chart reviews to ensure the clinical documentation provides evidence of compliance with coverage requirements, Company policy, and regulatory requirements including evaluation and management, surgery, radiology, pathology, and medicine • Communicates with the Compliance/Legal Department any reportable findings or matters identified during the audit that would put the Company at risk • Communicates and informs the care center locations/divisions and leadership of audit findings and corrective action plans • Prepares accurate, concise, and timely written executive summary of findings and coordinates all provider education sessions • Provides feedback to the Compliance Department and Company departments regarding recommended revisions or updates to Company policies, education opportunities, and documentation system enhancements • Adheres to all Company’s policies and procedures, the Code of Conduct, the Employee Handbook, the mandatory Ethics and Compliance, and HIPAA privacy and security programs • Participates in special projects and performs other duties as assigned Skills • Certified Professional Coder (CPC) credentialed with a minimum of three years of medical coding experience in the area of specialty or similar certification with the ability to obtain the CPC within six months from the hire date • All auditors must maintain a valid and current coding certification • OB/GYN experience and the Certified Professional Medical Auditor (CPMA), Certified Obstetrics and Gynecology Coder (COBGC) certifications or the like are preferred • Experience in surgical coding is a plus • Recommend having at minimum a bachelor's degree in business or healthcare administration, or a related field • OB/GYN experience and the Certified Professional Medical Auditor (CPMA), Certified Obstetrics and Gynecology Coder (COBGC) certifications or the like are preferred • Experience in surgical coding is a plus • Recommend having at minimum a bachelor's degree in business or healthcare administration, or a related field Benefits • Health Coverage • Paid Time Off • Financial & Retirement Planning • Income Protection • Wellbeing Support • Professional Development Company Overview • Unified Women's Healthcare is a management services company that specializes in administrative and business support services. It was founded in 2009, and is headquartered in Boca Raton, Florida, USA, with a workforce of 5001-10000 employees. Its website is Apply tot his job