Compliance Review Specialist Vidant Medical Group
Knowledge of regulatory guidance impacting Vidant Medical Group, including but not limited to the OIG compliance guidance for Physician Practices, OIG annual work plan, HIPAA and Medicare/Mediaid billing guidelines. Maintains and updates Vidant Medical Group Compliance Plan. Monitors select compliance criteria and appropriately maintains documentation of compliance activities. Performs initial survey and obtains background information relating to inquiries on activities and operations of a compliance nature by referring to and interpreting regulations, policies and procedures. Develops accessible lines of communication regarding possible fraudulent or erroneous conduct issues. Responds appropriately to detected violations through investigation of allegations and the disclosure of incidents to the Director of Clinical Quality. Develops, corrdinates, and participates in training that focuses on the elements of Vidant Medical Group Compliance Plan, and seeks to ensure that training materials are appropriate. Conducts internal auditing and monitoring of provider documentation as prescribed by Vidant Medical Group Compliance Plan.
Four year college degree required. Minimum of 3 years coding and documentation experience required. Licensure as CPC ,CCS-P, RHIA or RHIT required. Substitution: Registered Nurse with active license in NC, and a minium of 5 years of coding and documentation audit experience plus CPC or CCS-P certification, may be substituted for the education and experience requirement; or 2-year Associates Degree with 2 or more nationally recognized coding certifications with 3 to 5 years coding experience.
1 full - time vacancy.
It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
Vidant Health is an Equal Opportunity Employer. EOE/AA Applications for Vidant Health and its subsidiary corporate entities are accepted and employees are chosen for employment without regard to race, color, gender, religion, age, national origin, marital status, citizenship, veteran status, or disability.
Vidant Medical Center
- 2 years ago - save job