Compliance Auditor

Summary

Join Modernizing Medicine (ModMed) as a Compliance Auditor and contribute to our mission of improving healthcare. You will perform internal compliance audits, support external audits, and prepare comprehensive reports with recommendations for improvement. This role requires strong analytical and communication skills, along with experience in medical coding auditing. You will work with various audit tools and maintain detailed documentation. ModMed offers a competitive benefits package, including comprehensive health insurance, 401(k) matching, generous paid time off, and professional development opportunities.

Requirements

• Any Graduation preferably Finance/Accounting
• 5 years of compliance experience, including 3+ years of experience in medical coding auditing required
• Medical coding certificate required such as; CCS-P, CPC, or CPCA
• Proficient in Excel; i.e. pivot tables, lookups, advanced formulas
• Strong knowledge of compliance programs and systems
• Ability to prioritize work and exercise sound judgment
• Ability to effectively manage multiple tasks and projects
• Strong attention to detail, analytical thinking, and organizational skills
• Excellent problem-solving and critical thinking skills
• Ability to maintain confidentiality of all compliance and patient information
• Strong PC/MAC skills; familiarity with Microsoft Office Suite required
• Excellent organizational skills and time management skills
• Strong oral and written communication skills with ability to effectively communicate with internal and external stakeholders and escalate matters as appropriate

Responsibilities

• Perform regular and ad hoc billing and coding audits and analyses
• Prepares written reports of audit results, including recommendations for improvements and in compliance with state and federal laws and regulations
• Works with audit tools and in accordance with related policies and procedures for the compliance program
• Conducts auditing and monitoring activities and reviews necessary information at the direction of the Senior Director, to be in compliance with regulations and/or policies and procedures
• Generates and maintains all audit documentation, reports, and recommendations
• Communicates with the compliance analyst and the Senior Director regarding audit results and may provide that information to key stakeholders regarding audit findings and corrective actions if necessary
• Provides ongoing status reports to the team
• Creates and updates compliance reports and metrics in a timely manner
• Regularly monitors compliance with recommendations as a result of audits performed

Preferred Qualifications

Compliance certification preferred (CHC)

Benefits

• Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk
• Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees
• Allowances: Annual wellness allowance to support your well-being and productivity
• Earned, casual, and sick leaves to maintain a healthy work-life balance
• Bereavement leave for difficult times and extended medical leave options
• Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave
• Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind
• Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution
• 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep
• Generous Paid Time Off and Paid Parental Leave programs
• Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs
• Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed
• Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning
• Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles
• Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters