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Urgent! Compliance Auditor, Intermediate (CEMC, CPC, or CPMA) Job Opening In Pittsburgh – Now Hiring UPMC
**Join UPMC Corporate Compliance as an Intermediate Compliance Auditor!**
Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing?
Do you thrive in a dynamic environment where your expertise can make a significant impact?
**UPMC Corporate Compliance** is seeking a dedicated and detail-oriented **Intermediate Compliance Auditor** to join our team! This position will be based out of **Forbes Tower in Pittsburgh, PA** .
This is an onsite position with the potential to work from home.
**Key Responsibilities:**
· **Comprehensive Auditing:** Conduct UPMC-wide audits to ensure medical record documentation supports the services coded and billed in accordance with state and federal regulations.
· **Code Validation:** Validate ICD-10-CM, CPT, and HCPCS codes to ensure consistency and efficiency in claims processing, data collection, and quality reporting.
· **Regulatory Compliance:** Conduct audits on various compliance topics to evaluate adherence to state and federal laws, regulations, and policies.
· **Reporting:** Prepare written reports of audit results, including recommendations for improvement and compliance with state and federal laws and regulations.
· **Stakeholder Communication:** Communicate audit findings and corrective actions to key stakeholders.
· **Leadership Advising:** Advise leadership on regulatory requirements for coding documentation and billing to ensure services are submitted according to payor guidelines and related regulations.
· **Knowledge Maintenance:** Stay current with regulatory trends and changes in coding policy and reimbursement methods.
**Why UPMC?**
At UPMC, we are committed to fostering a culture of compliance and excellence.
As an Intermediate Compliance Auditor, you will play a crucial role in upholding our standards and ensuring the highest level of integrity in our operations.
Join us and be part of a team that values your expertise and dedication to making a difference in healthcare compliance.
**Apply today and take the next step in your career with UPMC Corporate Compliance!**
+ 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:**
One of the following is required:
+ 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)
+ OR Registered Health Information Administrator (RHIA)
+ Registered Health Information Technician (RHIT)
+ OR Licensed Professional Nurse (LPN)
+ Registered Nurse (RN)
Required:
+ Act 34
**UPMC is an Equal Opportunity Employer/Disability/Veteran**
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Unlock Your Compliance Auditor Potential: Insight & Career Growth Guide
Real-time Compliance Auditor Jobs Trends in Pittsburgh, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Compliance Auditor in Pittsburgh, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 14584 jobs in United States and 80 jobs in Pittsburgh. This comprehensive analysis highlights market share and opportunities for professionals in Compliance Auditor roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! UPMC is currently hiring and seeking a Compliance Auditor, Intermediate (CEMC, CPC, or CPMA) to join their team. Feel free to download the job details.
Wait no longer! Are you also interested in exploring similar jobs? Search now: Compliance Auditor, Intermediate (CEMC, CPC, or CPMA) Jobs Pittsburgh.
An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at UPMC adheres to the cultural norms as outlined by Expertini.
The fundamental ethical values are:The average salary range for a Compliance Auditor, Intermediate (CEMC, CPC, or CPMA) Jobs United States varies, but the pay scale is rated "Standard" in Pittsburgh. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.
Key qualifications for Compliance Auditor, Intermediate (CEMC, CPC, or CPMA) typically include Other General and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.
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Here are some tips to help you prepare for and ace your job interview:
Before the Interview:To prepare for your Compliance Auditor, Intermediate (CEMC, CPC, or CPMA) interview at UPMC, research the company, understand the job requirements, and practice common interview questions.
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