Compliance Analyst (Remote) - Billing Compliance and Audit job opportunity at WashU.

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WashU Compliance Analyst (Remote) - Billing Compliance and Audit
Experience: 1-year
Pattern: Remote
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Compliance analyst

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degreeAssociate
loacation Fully Remote locations Washington University Medical Campus, United States Of America
loacation Fully Remote l..........United States Of America

Job Description Primary Duties & Responsibilities: Perform audit function of the WashU Medicine Office of #Physician Billing Compliance (OPBC). Follow audit plan/schedule as outlined in the OPBC fiscal year work plan as approved by the Compliance Director. Identify and select audit sample via Epic billing system query and secure selected #medical records from inpatient and outpatient locations. Review medical record documentation for compliance with CPT and ICD-10-CM coding standards, University policy and Center for Medicare and Medicaid #Services (CMS) regulations, including regulation applicable to physicians in teaching hospitals. Analyze and interpret the data collected. Research issues that arise out of audit findings. Prepare reports, as required, to provide an analysis of the data collected and to inform physicians, departmental staff and/or compliance personnel of findings. Report issues of non-compliance identified through the audit process to the Compliance Audit Manager. Create and/or modify all auditing tools and aids to ensure compliance, including modifications necessary to reflect changes in regulations as they occur. Research specialty specific coding/billing issues prior to departmental/divisional audits and keep abreast of current specialty-specific coding literature and changes in regulation, standard coding practice and policy. Notify Compliance Educator(s) of department/division specific practices, policies and procedures that may affect and/or raise compliance issues identified during the audit process. Ensure audit protocol adheres to the Standards of Ethical Coding as set forth by the American Health Information Management Association and to official coding guidelines. Perform special audit and compliance-related projects as assigned.

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