Committed. Compassionate. Complete. That’s Cooper University Health Care.
As the leading academic medical center in South Jersey, Cooper sees patients in our hospital in Camden as well as more than 100 ambulatory locations. As a full-time compliance auditor, you will take the lead in conducting audits of inpatient and outpatient hospital regulatory requirements, including billing, coding and documentation, and related processes to determine organizational integrity of billing facility and technical hospital fees, including detection and correction of documentation, coding and billing errors.
We’ll rely on you to perform timely and effective compliance and operational reviews to assess coding, documentation and billing accuracy, identify compliance related risks, internal control weaknesses, revenue capture opportunities and assist in determining the root cause of any identified non-compliance with government rules and regulations, state laws, and Cooper policies and procedures. You’ll also analyze and review audit data and prepare reports for review and presentation to management, providers and departments, making recommendations for improvement.
In this role, you’ll serve as an institutional subject matter expert and authoritative resource on interpretation and application of documentation and coding rules and regulations, responding directly to the inquiry and/or consulting or interacting with other team members or departments. You’ll inform our Chief Compliance Officer of major findings; based on types of questions/concerns received, recommend remedial correction and prevention actions; identify education/awareness opportunities and guidance topics.
Special requirements include:
Refer to job post for a more complete list of requirements and qualifications
- Degree in a healthcare or business-related major (Nursing, HIM, accounting, finance, business administration, etc.) from an accredited program or equivalent experience. Coding/auditing experience (CCS, CRC, CPC), or RN.
- RHIA, RHIT or CCS certification required or RN license with minimum of 1 year hospital coding and/or auditing experience
- Three (3) + years of inpatient and outpatient hospital billing, coding, and documentation experience, preferably in an academic medical center, Demonstrated expertise in healthcare coding (CPT, ICD-9, ICD-10 CM & PCS, DRG,APC, HCPCS) and medical terminology
- Demonstrated knowledge and understanding of HIPAA rules and regulations affecting the management of confidential protected health information (PHI).
- Demonstrated knowledge and understanding of federal and state statutes, laws, rules and regulations affecting billing, coding, documentation, quality measures and utilization management in support of healthcare services provided to beneficiaries of federally-funded healthcare programs and other third party payers.
- Demonstrated knowledge and understanding of the essential elements of an effective compliance program
- Working knowledge and understanding of:
- hospital revenue cycle and reimbursement;
- electronic billing and medical record systems
- sampling technologies and statistical analyses
- Experience using MDAudit audit software and/or EPIC EMR desirable
If you’re ready to join our team, we’re ready to hear from you. Apply today.
At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies, and research protocols. We have a commitment to our employees by providing competitive rates and compensation, comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.
Please feel free to refer a friend to these openings! To see additional opportunities available at Cooper and to apply, please visit jobs.cooperhealth.org.
Cooper University Health Care is an equal employment opportunity employer and does not discriminate on the basis of gender, race, age, religion, disabilities, marital status, protected Veteran status, national origin, or any other category protected by federal or state law.