Merakey Looking for Senior Compliance Auditor at Lafayette Hill, PA  Full Time

Requisition Number

85812

City

Lafayette Hill

Shift

1st Shift – no week-ends

External Description

The Senior Compliance Auditor shall be responsible for the coordination, completion, and oversight of performing reviews to determine the accuracy of documentation in accordance with laws, regulations, program service description, policies and payer requirements.

Duties:

• Identify, develop, and deliver analytic solutions that provide impactful insight and critical decision support
• Create dashboards and scoreboards to provide transparency to operations and support data-driven compliance risk assessment and management
• Perform focused audits based on data mining and analytic findings
• Perform random audits of clinical/medical records by reviewing charts for coding and documentation accuracy
• Completes retrospective reviews of service documentation to ensure claims meet payer requirements
• Coordinate monitoring of coding and documentation accuracy
• Collect, analyze, interpret, and document information to support audit findings
• Assist in subsequent confirmation of management’s actions taken to address such findings
• Coordinate and perform educational training programs consisting of appropriate documentation guidelines and accurate coding to all appropriate personnel
• Performs audits to confirm compliance with HRSA 340B regulations
• Maintain abreast of compliance issues related to the healthcare industry, annual coding updates and frequent regulatory changes
• Recommends changes to policies, processes, or procedures
• Performs other duties as assigned by supervisor

BENEFITS

Merakey offers Medical, Dental and Vision insurance plans as well as competitive compensation plans. In addition, benefits include Work/Life balance, flexible schedules, cell phone discount plans, employee referral bonuses, tuition reimbursement, DailyPay, membership in Care.com and much more!

ABOUT MERAKEY

Merakey is a leading developmental, behavioral health, and education non-profit provider with a fifty-year history. We offer a breadth of integrated services to individuals and communities across the country. Our belief that every individual has the right to achieve growth, dignity, and fulfillment guides all of our decisions. At Merakey, we care about each other and are committed to providing the very best care to those we serve. Merakey strictly follows a zero-tolerance policy for abuse.

Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply.

Position Type

Full-Time

State

PA

Work Schedule

9:00 AM – 5:00 PM; Hybrid home / Merakey location

Requirements

Qualifications:

• Bachelor’s Degree, required
• Experience providing services in a healthcare related field, required
• Experience auditing charts, both in the field and in an Electronic Health Record, required
• Experience with 340B, preferred
• Knowledge of ICD-10-CM, E/M, and CPT coding, preferred
• Demonstrate ability to prioritize and effectively complete tasks timely
• Technical and database management abilities