Compliance Auditor

Summary

Join a team of passionate problem-solvers on a mission to modernize healthcare by placing doctors and patients at the center of care through an intelligent cloud platform. We're looking for a Compliance Auditor to perform internal compliance audits, support external audits, and create audit reports with recommendations.

Requirements

• Any Bachelors degree preferably from Finance/Accounting background
• 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
• Compliance certification preferred (CHC)
• 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

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

Benefits

• 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