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Summary
The Compliance Auditor plans, schedules, and performs comprehensive internal professional fee audits to include routine audits, focused audits, for cause audits and, not for cause audits for Chesapeake Regional Healthcare (CRH) and all of its affiliated entities. Performs detection of documentation, coding, and billing errors as well as collaboration with appropriate stakeholders to ensure corrective action and/or appropriate response to identified issues. Communicates audit results to providers, coders, management, and other appropriate staff. Develops and delivers provider and coder education. Evaluates the effectiveness of internal controls designed to ensure that processes and practices lead to regulatory compliance with guidelines related to professional fee documentation, coding, and billing. Stays abreast of documentation, coding, and billing regulations and standards and serves as a subject matter expert on the interpretation and application of documentation, along with coding rules and regulations.
Essential Duties and Responsibilities
These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned. Essential functions may include, but are not limited to, the functions listed below:
Candidate Attributes: The ideal candidate will:
Supplemental Functions:
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to pass required background checks and clearances.
Education and Experience
Preferred
Full Time
Hospital
$62k-76k (estimate)
06/20/2024
08/18/2024
chesapeakeregional.com
CHESAPEAKE, VA
50 - 100
1976
DONNA MARCHANT
$10M - $50M
Hospital
Chesapeake Regional Healthcare brings a broad range of care to the people of southeastern Virginia and northeastern North Carolina through Chesapeake Regional Medical Center and its affiliate services. A local, independent, community-focused organization, Chesapeake Regional offers area residents high-quality, technologically advanced health care delivered by people who openly display their care, concern and compassion.
The job skills required for Compliance Auditor include Auditing, Accounting, Written Communication, Time Management, Organizational Skills, Attention to Detail, etc. Having related job skills and expertise will give you an advantage when applying to be a Compliance Auditor. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Compliance Auditor. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Compliance Auditor positions, which can be used as a reference in future career path planning. As a Compliance Auditor, it can be promoted into senior positions as a Claims Quality Auditor III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Compliance Auditor. You can explore the career advancement for a Compliance Auditor below and select your interested title to get hiring information.
If you are interested in becoming a Compliance Auditor, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Compliance Auditor for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Compliance Auditor job description and responsibilities
Review business compliance processes as a whole and create a final audit report.
01/24/2022: Cheyenne, WY
Review compliance with related regulations and frameworks.
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Checking whether the related entity’s current practices follow the requirement.
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Usually follow a checklist based on the compliance audit guidelines of the standard or regulation that’s being assessed.
03/22/2022: Stockton, CA
Gathers appropriate and sufficient evidence and observes, tests, compares and confirms until gaining reasonable assurance.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Compliance Auditor jobs
Completion of relevant industry-specific certification, such as a certified internal auditor.
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A minimum of 5 years' auditing experience.
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Get a compliance or audit job to get the necessary experience.
03/07/2022: Houston, TX
Bachelor's degree in the relevant industry.
02/05/2022: Brownsville, TX
An in-depth understanding of the industry's rules, guidelines, and regulations.
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Step 3: View the best colleges and universities for Compliance Auditor.