Work where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe Revenue Compliance Auditor contributes to the success of the Office of Compliance and Integrity OCI by executing clinical documentation coding and billing audits as assigned or scheduled The Revenue Compliance Auditor performs independent reviews to assess compliance with federal state and private payor regulations guidelines and requirements Documentation and coding audits may include professional facility inpatient and outpatient home health and skilled nursing facilities The Revenue Compliance Auditor may be asked to assist in other compliance audits from time to time at the direction of hisher manage OCI leadership Responsibilities include but are not limited to the followingmiddot Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director middot Maintains organized files to support audit observations and drafts related audit reports in accordance with agreed upon standards in a timely manner middot Collaborates with business owner to develop agreed upon action plans to address findings identified during an audit middot Communicates audit results and corrective action plans to audit stakeholders Monitors progress of corrective actions and provides status reports to leadership Independently validates that corrective action plans are implemented as intended middot Stays up to date on documentation coding and billing regulations and requirements via professional organizations and through independent research and education on payor rules requirements and regulatory guidelines HHSOIG Medicare Medicaid NGS Commercial Insurers etc middot Assists with review andor investigation of Compliance Linereports as requested by the Manager or Directormiddot Assists with the development and revision of HHC and Department Policies and Procedures middot Participates in the annual and ongoing risk assessments to develop and revise the Revenue Compliance Work PlanWork where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe Revenue Compliance Auditor contributes to the success of the Office of Compliance and Integrity OCI by executing clinical documentation coding and billing audits as assigned or scheduled The Revenue Compliance Auditor performs independent reviews to assess compliance with federal state and private payor regulations guidelines and requirements Documentation and coding audits may include professional facility inpatient and outpatient home health and skilled nursing facilities The Revenue Compliance Auditor may be asked to assist in other compliance audits from time to time at the direction of hisher manage OCI leadership Responsibilities include but are not limited to the followingmiddot Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director middot Maintains organized files to support audit observations and drafts related audit reports in accordance with agreed upon standards in a timely manner middot Collaborates with business owner to develop agreed upon action plans to address findings identified during an audit middot Communicates audit results and corrective action plans to audit stakeholders Monitors progress of corrective actions and provides status reports to leadership Independently validates that corrective action plans are implemented as intended middot Stays up to date on documentation coding and billing regulations and requirements via professional organizations and through independent research and education on payor rules requirements and regulatory guidelines HHSOIG Medicare Medicaid NGS Commercial Insurers etc middot Assists with review andor investigation of Compliance Linereports as requested by the Manager or Directormiddot Assists with the development and revision of HHC and Department Policies and Procedures middot Participates in the annual and ongoing risk assessments to develop and revise the Revenue Compliance Work PlanEducationmiddot Bachelorrsquos Degree RequiredExperiencemiddot A minimum of two years of health care compliance experience preferably in a large Healthcare system setting or in a consulting capacityKnowledge Skills and Ability Requirements middot Strong Excel skills including the ability to organize data enter formulas and create reports middot Excellent verbal and written communication skills middot Strong general technology knowledge middot Proven ability to provide support to multiple users with varying needs middot Proven experience building and maintaining relationships middot Strong attention to detail and advanced organizational skills middot Proven ability to handle multiple tasks at once middot Proven analytical problem solver middot Strong organizational skills with the ability to successfully manage multiple prioritiesWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your momentEducationmiddot Bachelorrsquos Degree RequiredExperiencemiddot A minimum of two years of health care compliance experience preferably in a large Healthcare system setting or in a consulting capacityKnowledge Skills and Ability Requirements middot Strong Excel skills including the ability to organize data enter formulas and create reports middot Excellent verbal and written communication skills middot Strong general technology knowledge middot Proven ability to provide support to multiple users with varying needs middot Proven experience building and maintaining relationships middot Strong attention to detail and advanced organizational skills middot Proven ability to handle multiple tasks at once middot Proven analytical problem solver middot Strong organizational skills with the ability to successfully manage multiple prioritiesWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your moment