Coding & Documentation Compliance Auditor

Location Detail: 100 Pearl Street Hartford (10484) Shift Detail: Monday-Friday 8:00am-4:30pm Work Location Type: In Person Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. Responsibilities Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director. Maintains organized files to support audit observations and drafts related audit reports in accordance with agreed upon standards in a timely manner. Collaborates with business owner to develop agreed-upon action plans to address findings identified during an audit. Communicates audit results and corrective action plans to audit stakeholders. Monitors progress of corrective actions and provides status reports to leadership. Independently validates that corrective action plans are implemented as intended. Stays up to date on documentation, coding and billing regulations and requirements via professional organizations and through independent research and education on payor rules, requirements and regulatory guidelines (HHS/OIG, Medicare, Medicaid, NGS, Commercial Insurers, etc). Assists with review and/or investigation of Compliance Line reports as requested by the Manager or Director. Assists with the development and revision of HHC and Department Policies and Procedures. Participates in the annual and ongoing risk assessments to develop and revise the Revenue Compliance Work Plan. Qualifications Education: Bachelor’s Degree Required Experience: A minimum of two (2) years of health care compliance experience, preferably in a large Healthcare system setting or in a consulting capacity. Certified Professional Coder (CPC) certification strongly preferred Knowledge, Skills and Ability Requirements: Experience performing provider documentation and coding audits Hands‑on auditing of E/M services and professional claims Experience validating charges against medical records Strong knowledge of Medicare/Medicaid, CPT, and ICD-10 Experience in physician billing or revenue integrity We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment #J-18808-Ljbffr Hartford HealthCare