Compliance Auditor

Full Time
Florence, SC
$23.60 - $32.48 an hour
Posted
Job description

Employer Description

McLeod Health is the region's destination for medical excellence. Our excellence extends from the Midlands to the Coast along the border of North and South Carolina - serving more than one million people. As medical needs grow – we grow, expand, and improve our facilities and services. The McLeod Health network is comprised of 7 hospitals with locations in Florence, Darlington, Dillon, Manning, Cheraw, Loris, and Little River. We have also expanded into the Carolina Forest area of Myrtle Beach for patients looking for primary care and family physicians.

Founded over a century ago, McLeod is a locally owned, not-for-profit healthcare system which features the strength of more than 800 physicians and 2,000 registered nurses, and more than 8,500 employees. McLeod constantly seeks to improve patient care with efforts that are physician led, data-driven and evidence-based.

Essential Functions

Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.

Supports Corporate Compliance Manager in the area of performing Evaluation & Management (E/M) and/or procedural service audits for McLeod Physician Associates (MPA) physicians and Nonphysician practitioners (NPPs), as well as Hospital based physicians and/or NPP services as requested.

Assists Corporate Compliance Manager in the education of McLeod Health physicians/NPPs in E/M documentation guidelines, coding, and audit reviews.

Responsible for self-motivation and self-scheduling work flow.

Attends/facilitates meetings as directed

Qualifications/Training

Requires proficiency in E/M coding and documentation requirements.

Requires 3-5 years’ experience in coding for physicians’/NPPs’ professional services.

Requires proficiency in spreadsheet and word processing ability.

Requires proficiency in use of auditing software.

Requires excellent communication (verbal and written), organizational and presentation skills

Requires demonstrated professionalism, tact and diplomacy.

Requires ability to communicate effectively with people of variable cultural and educational backgrounds.

Occasional driving maybe required to McLeod Health campuses/MPA offices throughout the region to meet with physicians, NPPs, and/or staff when Teams meetings are not available.

Requires ability to conduct meetings virtually through Teams.

Provide additional support to Chief Compliance Officer and/or Compliance Manager as requested.

Maintains all required Continuing Education Units for certification requirements.

Minimum of 3 years’ experience in CPT, HCPCS and ICD-10 coding

Licenses/Certifications/Registrations/Education

  • Minimum of a High School Diploma/Equivalent from an accredited school
  • National Certification from the American Academy of Professional Coders-Certified Professional Coder (CPC) OR American Health Information Management Association Certified Coding Specialist (CCS), and/or Certified Coding Specialist-Physician-based (CCS-P).

Job Type: Full-time

Pay: $23.60 - $32.48 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Weekend availability

Work Location: In person

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