• Compliance Program Manager-Auditor and Educator

    Job ID
    Compliance Office
    Business Support
    Job Location
  • Overview

    The Compliance Program Manager-Auditor & Educator conducts independent internal auditing and monitoring of coding and billing for inpatient, outpatient and provider services. Performs medical record focused audits. Develops and implements provider compliance education and training program. Analyzes medical records to assess the adequacy of medical record documentation to support the services billed in accordance with professional fee coding and billing guidelines. Develops and delivers education and training programs for providers on coding and documentation practices. Serves as a resource for answering medical coding compliance and billing inquiries.

    Minimum Education

    • Bachelor's Degree in healthcare field required
    • Graduate and/or advanced level training preferred

    Minimum Experience

    • Three (3) years related experience in a multi-specialty physician setting or hospital required
    • Experience analyzing, interpreting, auditing and/or coding for correct application of coding assignments (for example, CPT, ICD, HCPCS) required
    • Prior evaluation and management coding and provider education experience preferred

    Other Credentials

    • CPC, CCS-P, RHIA or equivalent coding certification must be obtained within one (1) year of start date

    EEO Statement

    St. Jude is an Equal Opportunity Employer

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