Know ATS Score
CV/Résumé Score
  • Expertini Resume Scoring: Our Semantic Matching Algorithm evaluates your CV/Résumé before you apply for this job role: Compliance Auditor, Intermediate (CEMC, CPC, or CPMA).
United States Jobs Expertini

Urgent! Compliance Auditor, Intermediate (CEMC, CPC, or CPMA) Job Opening In Pittsburgh – Now Hiring UPMC

Compliance Auditor, Intermediate (CEMC, CPC, or CPMA)



Job description

**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**


Required Skill Profession

Other General



Your Complete Job Search Toolkit

✨ Smart • Intelligent • Private • Secure

Start Using Our Tools

Join thousands of professionals who've advanced their careers with our platform

Rate or Report This Job
If you feel this job is inaccurate or spam kindly report to us using below form.
Please Note: This is NOT a job application form.


    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.

  • Are You Looking for Compliance Auditor, Intermediate (CEMC, CPC, or CPMA) Job?

    Great news! 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: .

  • The Work Culture

    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:
    • 1. Independence
    • 2. Loyalty
    • 3. Impartiality
    • 4. Integrity
    • 5. Accountability
    • 6. Respect for human rights
    • 7. Obeying United States laws and regulations
  • What Is the Average Salary Range for Compliance Auditor, Intermediate (CEMC, CPC, or CPMA) Positions?

    The average salary range for a 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.

  • What Are the Key Qualifications for Compliance Auditor, Intermediate (CEMC, CPC, or CPMA)?

    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.

  • How Can I Improve My Chances of Getting Hired for Compliance Auditor, Intermediate (CEMC, CPC, or CPMA)?

    To improve your chances of getting hired for Compliance Auditor, Intermediate (CEMC, CPC, or CPMA), consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

  • Interview Tips for Compliance Auditor, Intermediate (CEMC, CPC, or CPMA) Job Success
    UPMC interview tips for Compliance Auditor, Intermediate (CEMC, CPC, or CPMA)

    Here are some tips to help you prepare for and ace your job interview:

    Before the Interview:
    • Research: Learn about the UPMC's mission, values, products, and the specific job requirements and get further information about
    • Other Openings
    • Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.
    • Dress Professionally: Choose attire appropriate for the company culture.
    • Prepare Questions: Show your interest by having thoughtful questions for the interviewer.
    • Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.
    During the Interview:
    • Be Punctual: Arrive on time to demonstrate professionalism and respect.
    • Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.
    • Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.
    • Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.
    • Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.
    • Follow Up: Send a thank-you email to the interviewer within 24 hours.
    Additional Tips:
    • Be Yourself: Let your personality shine through while maintaining professionalism.
    • Be Honest: Don't exaggerate your skills or experience.
    • Be Positive: Focus on your strengths and accomplishments.
    • Body Language: Maintain good posture, avoid fidgeting, and make eye contact.
    • Turn Off Phone: Avoid distractions during the interview.
    Final Thought:

    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.

    Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the UPMC's products or services and be prepared to discuss how you can contribute to their success.

    By following these tips, you can increase your chances of making a positive impression and landing the job!

  • How to Set Up Job Alerts for Compliance Auditor, Intermediate (CEMC, CPC, or CPMA) Positions

    Setting up job alerts for Compliance Auditor, Intermediate (CEMC, CPC, or CPMA) is easy with United States Jobs Expertini. Simply visit our job alerts page here, enter your preferred job title and location, and choose how often you want to receive notifications. You'll get the latest job openings sent directly to your email for FREE!