Compliance Auditor

Job Description Summary

The Compliance Auditor reports to the Compliance Audit Coordinator. Under indirect supervision, the Compliance Auditor monitors compliance issues for the System and communicates results to the department/market. This role assists the Coordinator and Director in the development and implementation of a plan to monitor and ensure compliance. This position performs System audits to include the following: charging, billing, regulatory requirements and education, medical device warranty coding and billing, OIG work plan audits for high-risk areas, clinical trial coding and billing, and “for cause” coding and billing investigations. These findings will be shared/communicated with each market’s compliance committees.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC002278 SYS - Compliance Program

Pay Rate Type

Salary

Pay Grade

Health-27

Scheduled Weekly Hours

40

Work Shift

Job Description

Conducts audits of alleged violations of the corporation's ethical standards or non-compliance with applicable laws, regulations and corporate policy. Ensures that audits follow the approved process, and are thorough in gathering all material facts and present an accurate accounting of the issues. Presents clear, concise, and factual reports that enable fair and relevant decisions to be made. Recommends proactive measures that will reduce the risk of similar future incidents.

Education requirements: Bachelor's degree in a related field and a minimum of two years of medical billing coding experience or high school diploma or equivalent (GED) and four years of medical billing coding experience required; college degree preferred. Applicant must be credentialed as a coder by a nationally recognized accrediting body and certification must be maintained, i.e., CCS, CCS-P, CPC, or CPC-H.  RHIA or RHIT preferred. 

Additional Job Description

Education: Bachelors Degree or equivalent Work Experience: 2-4 years

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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