Compliance Auditor Provider Liaison at Huntsville… · Huntsville

Overview

The Compliance Auditor Provider Liaison is responsible for conducting detailed audits of professional coding and provider documentation across numerous specialties, identifying compliance risks, and promoting best practices through education and feedback. The auditor partners closely with providers, coders, and revenue cycle leadership to ensure alignment with organizational policies, payer requirements, and federal regulations.

Qualifications

**Education:**High School diploma or GED required.

License: Certified Coder with Auditing Certification with AAPCExperience: Minimum of 5 years of experience in a hospital or professional revenue cycle. Minimum of 5 years coding experience with CPC certification. Minimum of 3 years of coding auditing experience. Broad exposure to multiple specialties such as cardiology, general and specialized surgery, oncology, and primary care/nternal medicine strongly preferred. Deomonstrated experience educating or training providers on documentation and coding standards.

Additional Skills/Abilities: Requires thorough understanding of Medicare/Medicaid guidelines as well as commercial insurance policies regarding coverage, medical necessity and billing standards. Thorough knowledge of healthcare compliance, including HIPAA. Strong organizational and problem solving skills with the ability to manage and prioritize multiple responsibilities in a fast-paced, stressful environment. Proficient in operating the software system as it relates to billing and reporting functions. Demonstrated ability to assess work flows and to develop process improvement recommendations. Excellent verbal, written and attentive listening communication skills. Strong collaborative skills to develop effective working relationships with staff, other managers, other departments and upper management. Ability to coach and mentor staff to promote optimal effectiveness teamwork and morale. Strong analytical, investigative, and problem-solving skills. Excellent communication and interpersonal skills for engaging with providers and leadership. High attention to detail, confidentiality, and integrity.

About Us

Highlights of our hospitals

Huntsville Hospital was recently namedBest Regional Hospital and #2 in Alabama by U.S. News & World Report. With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We are a certified Primary Stroke Center and named "One of the Top 100 Hospitals in the Nation with Great Heart Programs." From six cath labs and four EP labs to multiple medical and step-down units, you can continually grow your skillset! We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse. We care about you and your well-being by offering an excellent benefits package, childcare, health and wellness programs, an onsite employee pharmacy, a free health clinic, tuition assistance, and much more. We are committed to creating a diverse environment and proud to be an equal opportunity employer. We are a partner to the U.S. Army’s Partnership for Your Success (PaYS) program. Ask us about incentives and additional opportunities.

Huntsville Hospital Benefits:

We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more!

Learn more about Huntsville Hospital Health System:

• Careers: https://careers.hhsys.org/careers-home
• Benefits: https://careers.hhsys.org/us/en/benefits
• Education & Professional Development: https://www.huntsvillehospital.org/education
• Life In Huntsville: https://www.huntsvillehospital.org/about-huntsville-al