Compliance Integrity Auditor Analyst

Compliance Integrity Auditor Analyst

PLEASE NOTE: This is a remote position. However due to our pay practices, qualified candidates MUST reside within one of the following states: OR, WA, CA, NV, CO, AZ, ID, KY, TN, GA, NC, OK, TX, MA, PA, FL, ME, ND, MO, and IL . While candidates need to live in or relocate to one of the aforementioned states, working remotely will require reliable broadband internet and personal cell phone service. Remote work may include working day-to-day operations during Pacific Standard business hours or online training.

WHY ASANTE

Asante is more than a great hospital system in an amazing location. We are a community of passionate providers and service-focused caregivers who collaborate to deliver amazing patient outcomes; a place where titles don't matter as much as your creativity, drive, and passion.

Our culture, values and people create an environment of sustained medical excellence. All three Asante hospitals have earned five stars from CMS for overall quality -- the top rating given. In fact, Asante accounts for three of the five Oregon hospitals to achieve this rare honor. You can see our many other quality awards and accolades HERE.

Position Summary

The Compliance & Integrity Auditor and Analyst is responsible for ongoing auditing and monitoring activities related to Asante's operational processes and internal controls. The Compliance & Integrity Auditor and Analyst performs prospective and retrospective coding audits, including review of the quality of medical record and billing documentation relating to inpatient and outpatient professional, technical and facility charges. The Compliance & Integrity Auditor and Analyst also performs other audits based upon the Compliance/Integrity Department's annual risk assessment and compliance workplan to assess Asante's compliance in other legal/regulatory risk areas such as EMTALA, HIPAA, and the Stark and Anti-Kickback statutes. This position also performs additional ad hoc audits at the direction of the Director/Chief Compliance & Privacy Officer. In collaboration with other members of the Compliance/Integrity department and operational stakeholders, the Compliance & Integrity Auditor and Analyst helps develop and implement corrective action plans - creating or building upon existing internal controls. Such corrective action plans may include the creation of education/training materials, delivering virtual training sessions, creating or revising policies and procedures, and developing ongoing monitoring processes to continuously assess and mitigate compliance risks. This position also supports the ongoing compliance risk assessment process, informing the scope and risk areas covered in the annual workplan.

Qualifications

Experience

• 3 years progressive experience in ambulatory coding including healthcare compliance auditing experience.
• Current working knowledge of CPT, ICD-10-CM and HCPCS coding and other coding related regulatory standards requirements.
• Knowledge and experience in health information management and revenue cycle processes. Knowledge of federal and state healthcare compliance-related laws and regulations, specifically the Stark Law, Anti-Kickback Statute, Civil Monetary Penalty law, False Claims Act, HIPAA and HITECH.
• Working knowledge of Microsoft Office products, including Word, Excel and Outlook

• Bachelor's Degree or equivalent education and work experience

• CCS: Certified Coding Specialist or CPC: Certified Professional Coder
• CHC: Compliance Healthcare Certification (HCCA) within 18 months of hire
• CPMA: Certified Professional Medical Auditor (AAPC) preferred

What We Offer

• Competitive starting wage
• Comprehensive benefits including medical, dental, vision, and wellness
• Excellent retirement package with up to 6% employer contribution
• Generous Earned Time Off
• Tuition reimbursement after one year of service

About Asante and Southern Oregon

Asante is a local, community owned and governed, not-for-profit organization that provides comprehensive health care services to more than 550,000 people in a nine-county area of Southern Oregon and Northern California. It includes Asante Ashland Community Hospital in Ashland, Asante Rogue Regional Medical Center in Medford, Asante Three Rivers Medical Center in Grants Pass, Asante Physician Partners throughout the Rogue Valley, and additional health care partnerships. Virtually all medical specialties and services are represented within an organization dedicated to providing exceptional care. With over 5,000 employees, Asante's entities offer outstanding opportunities for career advancement and professional growth. At Asante your work positively impacts your family, friends, neighbors and the community. Experience the difference in how you work, how you live and how you connect.

At Asante we are defined by our values - traits that guide us as we serve patients and the community:

Excellence - Respect - Honesty - Service - Teamwork

Asante is an equal opportunity employer. We are committed to employ and advance in employment women, minorities, qualified individuals with disabilities and protected veterans.