Job Summary: The Compliance/Medical Auditor develops and conducts internal compliance reviews of the effectiveness and efficiency of medical documentation and coding practices of CMHC and it's affiliates. Provides ongoing educational support to staff, physicians, and non-physician providers. Performs operational and compliance audits to ensure that the facility's records are accurate and controls are in place, at CMHC and it's affiliates, to protect against fraud and abuse and excessive waste of resources.
Certified Coding Specialist (CCS), Certified Procedural Coder - Hospital (CPC - H) or Certified Procedural Coder (CPC). Four years of relevant health care experience with a concentration in coding and third party payor documentation requirements. CPMA required or completed within one year of start date. .
Skills: Practical knowledge of computers and applicable software.