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Remote/Work From Home - Self Paaced Certification - Tax Product Customer Support! Weekly Pay

UPMC Corporate Finance is hiring a full-time Compliance Auditor, Intermediate. This position will be based out of Forbes Tower in Pittsburgh, PA. This position will have the possibility of working remote 1-2 days per week. Responsibilities: • Conduct UPMC wide auditing and monitoring to ensure coding/documentation combinations and medical record documentation adequately supports services coded and billed in accordance with the appropriate state and federal regulations and/or standards.• Validate the ICD-10-CM, CPT, and HCPCS codes or CPT and HCPCS ICD-10-CM-PCD and DRG assignment appropriateness to ensure consistency and efficiency in claims processing, data collection, and quality reporting.• Conduct audits on other compliance related topics as determined to evaluate compliance with the state and federal laws, regulations and policy.• Develop concise and well referenced audit workpapers.• Prepare written reports of audit results, including recommendations for improvement and compliance with state and federal laws and regulations.• Conduct post-audit compliance training sessions for physicians and non-physician practitioners as audit results dictate. These training sessions will include, but are not limited to, provision of education specific to the issues found on audit and will be largely based on the documentation, coding and billing rules as set forth by CMS and other relevant Federal and State regulatory agencies.• Maintain current knowledge and understanding of regulatory trends and changes in coding policy and reimbursement methods.• High School Diploma or equivalent required.• Associate's degree or comparable technical school diploma is preferred.• 3 or more years of experience in medical coding, billing, auditing and compliance.• Extensive knowledge of CMS, and third-party payer coding, billing, and documentation compliance regulations required (MS-DRG, APR-DRG, APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.).• Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M codes.• Experience in an academic medical center setting is strongly preferred.• Proficiency with associated technology solutions such as Microsoft Excel, Word and PowerPoint is strongly preferred.• Must be able to demonstrate a high degree of professionalism, enthusiasm and initiative daily.• Must have strong interpersonal, organizational, analytical and communication skills.• Ability to work in a fast-paced environment.• Must have ability to manage multiple tasks and projects and forge strong interpersonal relationships within the department and with other departments.• Ability to identify, interpret and summarize relevant policy and regulation in a clear and timely manner is essential.• Experience researching and interpreting regulation and performing internal investigations is essential.Licensure, Certifications, and Clearances:• Certified Coding Specialist (CCS)• Certified Inpatient Coder (CIC)• Certified Evaluation & Management Coder (CEMC)• Certified Professional Medical Auditor (CPMA)• Certified Professional Coder (CPC)• Certified Medical Coder (CMC)• ORRegistered Health Information Administrator (RHIA)• Registered Health Information Technician (RHIT)• ORLicensed Professional Nurse (LPN)• Registered Nurse (RN)• Act 34UPMC is an Equal Opportunity Employer/Disability/VeteranAnnual

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What You Should Know About Remote/Work From Home - Self Paaced Certification - Tax Product Customer Support! Weekly Pay, Omni Interactions

Are you ready to take your career to the next level? Join UPMC Corporate Finance as a Compliance Auditor, Intermediate, and become an integral part of our team! This exciting role allows for a mix of work from our Forbes Tower in Pittsburgh, PA, and remote work flexibility 1-2 days per week – perfect for those who thrive in dynamic environments. Your primary responsibility will include conducting comprehensive audits across the organization to ensure rigorous compliance with coding and billing practices, adhering to state and federal regulations. You'll validate critical medical coding frameworks like ICD-10-CM and CPT, ensuring that our services are adequately supported by documentation. Your findings and expertise will culminate in well-referenced audit reports that recommend strategic improvements. Additionally, you will get to engage in compliance training sessions tailored to physicians and practitioners, helping them navigate the nuances of billing practices as identified in audit results. Staying updated on the latest regulatory trends is crucial, so if you have a passion for compliance and a solid background in medical coding and auditing, this position is for you. Bring your 3+ years of experience to UPMC, where you will work alongside a committed team, all while fostering a positive workplace culture. If you hold certifications like CCS, CPC, or CIC, we especially want to hear from you! Embrace the opportunity to grow professionally while making a difference in healthcare compliance. Apply today and start your journey with UPMC Corporate Finance!

Frequently Asked Questions (FAQs) for Remote/Work From Home - Self Paaced Certification - Tax Product Customer Support! Weekly Pay Role at Omni Interactions

What does a Compliance Auditor, Intermediate do at UPMC Corporate Finance?

As a Compliance Auditor, Intermediate at UPMC Corporate Finance, you will conduct audits and monitoring across the organization to ensure that coding and documentation processes comply with regulatory standards. Your role involves validating medical coding and preparing detailed reports that include recommendations for enhancing compliance with billing practices.