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The Medical Compliance Audit Analyst implements and maintains provider education programs related to coding regulatory and other administrative issues, as well, is responsible for the Medicare compliance program at the Clinic. Performs monthly and annual audits per provider and reporting those results to Professional Standards. Regularly reports the results of audits and performs ad hoc EHR audits upon request.
If you live in Oregon, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Will participate and maintain a culture within The Corvallis Clinic that is consistent with the content outlined in the Service and Behavioral Standards Handbook. To this end, employee will be expected to read, have familiarity, and embrace the principles contained within
- Implements and maintains the corporate Medicare compliance program
- Works as a liaison with Administration and other Clinic committees in reporting on compliance issues. Makes recommendations for improvement
- Performs monthly and annual provider chart audits and reports progress to ensure compliance to Professional Standards
- Implements and maintains provider education program for coding and billing regulations. Publishes coding newsletter for providers
- Improve the quality of care through continuing education and self-evaluation of the effectiveness of care. This includes attendance/participation in most in-services/department meetings and remaining current on department policies and procedures
- Participate in orientation and training of new employees
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Certified Procedural Coder (Preferred CPC through AAPC)
- 2+ years coding experience (Preferred Multi-Specialty)
- Experience in auditing medical records for office visit and procedures
- Experience with CMS regulations and Compliance
- Knowledge of Commercial, Federal and State Insurance Policies
- Intermediate to advanced computer skills
Preferred Qualifications:
- Proven excellent verbal and written presentation skills
- Proven attention to detail and analysis performance
- Proven ability to work well with providers and other staff
- Proven ability to work on multiple tasks simultaneously in a busy, fast-paced environment while maintaining quality of work
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.