Compliance Auditor/Educator - Compliance Quality

Christie Clinic's department of Compliance Quality is seeking a full-time Compliance Auditor/Educator at our Clark Street location in Champaign from Monday-Friday 8:00am-5:00pm, with no night or weekend requirements.

Duties include performing ongoing functions related to quality of care and compliance including government and clinic regulations and policies in support of the Christie Clinic Compliance System.

JOB DUTIES: (This list may not include all of the duties assigned.)

• Screen, review, identify and document potential quality and compliance issues.

• Perform billing and coding audits with both random samples as well as provider and department specific samples; and as required.

• Meet with providers to share audit results and guidance for accuracy rate improvement.

• Prepare educational materials specific to new provider’s specialty and assist with orientation sessions.

• Review new providers’ daily charges and offer feedback. 

• Notify providers of CPT and diagnosis coding changes.

• Maintain communication logs on all providers to document interactions, educational exchanges, and other feedback.

• Compile, analyze and summarize data in written reports and prepare recommendations for corrective action and quality improvement.

• Participate in professional development efforts to remain current in health care practices and trends related to documentation quality improvement and compliance with state and federal regulations.

• Develop educational programs on coding, documentation quality and compliance guidelines, as required.

• Research the Internet, newsletters and professional journals for compliance and quality issues facing a physician practice. Disseminate information to clinical staff, as appropriate.

• Maintain record of training and education.

• Conduct documentation quality and compliance education.

• Perform related work as required.

REQUIRED QUALIFICATIONS:

• Certified Professional Coder (CPC) upon hire

• 2ndry credential (CPMA, CRC, or CDEO) must be earned within 2 years

• 1 year of current coding and/or auditing experience

• Proficient with Medical Terminology

• Evidence of completion of related courses and/or seminars with CEU’s for each credential (CPC, CRC, CDEO, CPCO, etc.)

PREFERRED QUALIFICATIONS:

• Healthcare Auditor certificate or equivalent

• 2 or more years of current coding and/or auditing experience

CERTIFICATE/LICENSE: 

• Certified Professional Coder (CPC) upon hire

TYPICAL PHYSICAL DEMANDS:

Demands include sitting, standing, walking, bending, stooping, stretching, and lifting up to 20 pounds.  Hearing within, or correctable to, normal range, vision correctable to 20/20 and manual dexterity for the operation of office equipment is required.

TYPICAL WORKING CONDITIONS:

Work is performed in an office environment and involves frequent contact with staff, providers, and outside individuals. 

PAY AND BENEFITS:

The estimated pay range for this position is exclusive of fringe benefits and potential bonuses. Final offers are based on various factors, including skill set, experience, qualifications, and other job-related criteria. 

We also offer a substantial benefits package, including: