Job Summary:

　　Responsible for performing routine and investigatory audits pursuant to UH Hospital Compliance Plan. Under the direction of the Chief Ethics & Compliance Officer, duties will include: performance of routine and investigatory audits and evaluation and analysis in compliance with local, state, and federal laws; identification and collection of relevant data and preparation and maintenance of detailed audit reports; formulation of audit results with provision of potential liability assessment and recommendations for improvements; facilitation of implementation of corrective action plans; provision of feedback and education to affected staff/practitioners related to audit results; researches regulations as needed and serves as a resource for current coding, billing, and regulatory guidelines. All other duties as assigned.

　　Minimum Qualifications:

　　Bachelors degree in healthcare/business administration or related field with a minimum of 2 years relevant experience or Associates Degree with 4 years experience, or certified medical coder (CPC, CCS) or certification in healthcare compliance (CHC) experience with 10 or more years preferably with background in medical coding and billing & auditing, plus excellent interpersonal, written/oral communication and organizations skills required.

　　Preferred Qualifications:

　　Knowledge of coding, billing, medical terminology, medical record review/analysis, report development; ability to interpret and apply regulatory standards; and high proficiency in various computer applications (MS Word and Excel) strongly preferred. EMR EPIC experience preferred. Coding or compliance certification preferred.

　　Work Days:

　　Message to Applicants:

　　Recruitment Office: Human Resources

　　Executive Order:

　　Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at (518) 474-6988 or via email at [email protected].