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Compliance Audit Specialist

Job Description

Additional Job Information

  • 40 Hours per Week -
  • Benefits Eligible -

  • Job ID: 1207928
    Employment Status: Full-Time
    More Information:

    Boone Hospital Center is a 394-bed full service hospital located in Columbia, MO. It is a regional referral center located in the center of the state. The hospital provides progressive healthcare programs, services, and technology to people in 26 mid-Missouri counties. Although the hospital is full service, areas in which Boone Hospital Center excels are cardiology, neurology, oncology, surgical, obstetrical services, and numerous other specialties. The hospital maintains a 24-hour emergency center with hospital-based ambulance service and a helipad for incoming emergency air transportation.  Recognizing its excellence in nursing care, Boone Hospital Center has been certified as a "Magnet Hospital" by the American Nurses Credentialing Center.
     


    Overview


    Role Purpose

    Perform insurance billing and process audits and assists with special projects. Serve as a regulatory consultant and resource to management and departments at all levels and assist in developing appropriate action plans. Requires a high degree of analytical skills, the ability to work independently, the ability to maintain confidentiality and to be a catalyst for change.


    Responsibilities

  • Performs detailed compliance, process and insurance billing audits in the hospital and outpatient facilities.
  • Prepares audit work papers to document billing exceptions or patient care documentation issues.
  • Identifies problems or critical issues in billing and patient care documentation.
  • Assists with the identification of problems, analysis of problems and development of solutions.
  • Assists in the preparation of formal written reports which detail audit findings and recommendations.

  • Minimum Requirements

     

    Degree

  • Associate's Degree
  •  

    Experience

  • 2-5 years
  •  

    Supervisor Experience

  • No Experience

  •  

    Preferred Requirements and Additional Job Information

     

    Licenses & Certifications

  • RN
  • RHIA/RHIT/CCS
  •  


    Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Alton Memorial or Parkland Health Center


    Legal Statement

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

     

    Equal Opportunity Employer