Medical Coding Auditor, Compliance

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Who we are:

We Are Modernizing Medicine (WAMM) We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started ModMed's global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany.

The Compliance Auditor performs internal compliance audits and supports external audits as necessary at the direction of the Senior Director, Billing and Coding Compliance. This includes reviewing records, reports, software, and any other relevant programs and related activities. In addition, this position may be required to audit other auditors within the company or our vendors. Following an audit, the Compliance Auditor creates an audit report with recommendations regarding changes to procedures or practices that are not in compliance with stated regulations and helps to implement a plan to address such changes. The auditor monitors the corrective action plan to ensure that the company makes necessary changes. The Compliance Auditor also assists with operations support regarding the tracking of Jira tickets, incidents, and issues within areas of oversight.

Essential Duties and 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

Education and Skills requirements :

Any Graduation preferably Finance/Accounting 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 Excellent problem-solving and critical thinking skills Ability to maintain confidentiality of all compliance and patient information Strong PC/MAC skills; familiarity with Microsoft Office Suite required Excellent organizational skills and time management skills Strong oral and written communication skills with ability to effectively communicate with internal and external stakeholders and escalate matters as appropriate

ModMed Benefits Highlight: At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:

India

Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk, Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees, Allowances: Annual wellness allowance to support your well-being and productivity, Earned, casual, and sick leaves to maintain a healthy work-life balance, Bereavement leave for difficult times and extended medical leave options, Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave, Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.

United States

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.

PHISHING SCAM WARNING:  ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (). Please check senders’ email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.

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