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Compliance Auditor Inter

Location
Ann Arbor, MI

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A cover letter must be included with your resume. Participates in the development of and assure adherence to a Compliance Audit Work Plan and data analytics plan for the organization. Under general supervision, perform auditing, monitoring and data analysis to evaluate the adequacy and effectiveness of internal controls for compliance with applicable regulations, policies, procedures, accreditation standards and Compliance Program requirements. Participates in research, data gathering, data analysis and interviews related to compliance audits. Create audit tools and audit recommendations. Individual contributor that works under limited supervision. Identify revenue integrity risk areas and assists with the development and implementation of policies and corrective action plans where indicated. Make recommendations for improvements in the process or area under review. Use the results of the audit procedures to establish an objective opinion as the adequacy of internal controls and efficiency of the activities being audited. May lead projects or project steps within a broader project or may have accountability for ongoing activities or objectives. Acts as a resource for colleagues with less experience. Assists in the preparation and testing of compliance related policies, procedures and training programs. Prepares draft reports that present the results of audits and recommended corrective actions clearly and concisely. Assists external auditors as necessary. Develop a comprehensive and advanced working understanding of healthcare compliance auditing and monitoring to become an authoritative resource within the organization. (Obtain certification within 2 years of being in the positionu2014i.e. CHC, CPC). Develop and perform follow-up compliance audits to evaluate the implementation of prescribed corrective actions. Continues to build knowledge of the organization, processes and customers. Performs a range of assignments. Uses prescribed guidelines or policies, and develops new ones to analyze and resolve problems. Receives a moderate level of guidance and direction. Responsibilities* Provide regular reports, both verbal and written, to Director of Compliance Auditing & Monitoring and to the department audited on audit results, documentation issues, and education sessions. Conduct or assists in scheduled and non-scheduled compliance audits of outpatient and inpatient services or as requested by the UMHS Compliance Committee, UMHS Audit Subcommittee or UMHS Compliance Office personnel or the Office of General Counsel. Prepare audit reports which document all audit procedures and findings. The audits will include, but are not limited to, monitoring of coding accuracy and documentation adequacy through regular audits of potential areas of risk and ensuring compliance with laws, rules and regulations. The reporting will include regulation description and detailed description of audit procedures performed findings (graphs, spreadsheets and/or documents) and recommendations for improvements based upon the nature of the audit findings. Conduct entrance/exit meetings and consult with departments audited on issues, recommendations and action plans. Perform follow up reviews to determine the status of the implementation of accepted recommendations. Provide input into the annual audit plan, specifically in regards to Compliance issues, such as coding, documentation and policy implementation. Understands the financial, operational, and compliance risks that affect the health system. Compare coding and reimbursement profiles with national and regional norms to identify variations requiring further investigation. Collaborate with providers and other auditing staff, including but not limited to professional fee billing auditors, and give ongoing feedback on coding and medical record documentation issues. Maintain current knowledge of new developments relating to coding issues in healthcare. Collaborate with IT staff to assist in the design, functional ability and placement of medical record documentation templates, coding aids and dictation prompts for clinicians and support staff. Initiates corrective action to ensure resolution of problem areas identified during an internal investigation or auditing/monitoring activity. Conduct trend analyses to identify patterns and variation in coding practices. Attend meetings as directed by the UMHS Chief Compliance Officer or Director of Compliance Auditing & Monitoring. Perform additional duties as assigned. Required Qualifications* Bacheloru2019s degree in Healthcare, Healthcare Administration, or other related field and/or combination of education and related experience. 3-5 years of health care auditing and coding experience in an academic healthcare setting. A professional certification such as CHC, CHCA, CPC, RHIA, RHIT, is required. Considerable knowledge in HIPAA, HiTECH, State and Federal Privacy Regulations. Strong interpersonal, oral, and written communication skills Ability to research and understand compliance obligations of substantial complexity, including state and federal statutes and regulations Desired Qualifications* Possesses a working knowledge of UMHS policies and procedures, its business processes, policies and procedures, governance practices, and regulatory requirements so as to effectively conduct audits and monitoring reviews for various Departments throughout the institution. Has the ability to make independent decisions on matters of significance, free from immediate direction, within the scope of responsibilities. Must be flexible and able to change priorities quickly with the capacity of handling multiple tasks. Possesses a working knowledge of best business processes, governance practices, and regulatory requirements so as to effectively conduct audits and monitoring reviews for various Departments throughout the institution. Background Screening Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. Application Deadline Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.

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