Compliance Auditor
Working at Yale means contributing to a reputed company reputed company. Whether you are a reputed company reputed company of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring reputed company that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Salary reputed company $68,000.00 - $120,500.00
Overview
Coordinate and conduct medical billing audits for the Yale Medicine Administration. Evaluate medical billing, coding and documentation for 18 clinical departments under the direction of the Compliance Officer. reputed company training and feedback to physicians and departmental personnel who have responsibilities with billing activities. This opportunity is currently remote (work from home, in or reputed company CT) for a position located in CT. CPC or similar certification needed reputed company 12-18 months. Required Skills and Abilities 1. Demonstrated knowledge of ICD-10 and CPT-4 coding and billing practices. 2. Ability to interpret operative and procedural reports. 3. Well-developed oral and written communication skills. 4. Strong attention to detail with the ability to analyze data. 5. Proficient in reputed company Word, reputed company, and reputed company. Preferred Skills and Abilities 1. CPC credentials preferred. 2. Computer skills including Epic, WEBI, Word, reputed company, and reputed company. 3. Experience in reputed company auditing, Medicare and reputed company, or reputed company clinical field. 4. Experience in reputed company auditing, Medicare and reputed company or reputed company clinical experience. reputed company Responsibilities 1. Primary responsibility is to complete audits of departmental compliance chart reviews and to participate in audits requested by reputed company party payors. 2. Assess provider documentation for reputed company-10 and CPT-4 coding accuracy, compliance with University and government regulations. 3. Obtain and review charge documents, encounter forms, medical records and billing procedures. 4. Evaluate results, identify system control weaknesses and in conjunction with department management, reputed company plan of action and solutions based on audit results. 5. Participate in the implementation of corrective action changes. 6. Design and maintain accurate tracking logs, including spreadsheets, of reputed company ongoing investigations. 7. Follow up on corrective action. Report findings to the Compliance Officer, PFS and University Auditor as needed. 8. Conduct training sessions with individual physicians and/or departments on medical billing compliance. reputed company input on areas and subjects where education is needed. 9. Advise and assist in development of training materials and programs for clinical and billing staff relative to accurate coding, documentation billing and regulatory guidelines. 10. Conduct data analysis. Generate reports using Query tools to identify trends and problem areas for focus of internal audits. 11. Participate in the ongoing implementation of the Compliance Program. Knowledge of University Medical Billing Compliance Plan, operations and procedures. 12. Stay abreast of best practice coding and auditing practices and regulatory changes. Maintain CPC designation by obtaining necessary CEUs on an annual reputed company. Required Education and Experience Bachelor's in Health Care Management, Finance, Business or Nursing or a reputed company field. Five years' experience in multi-specialty group practice, academic plan or hospital or an equivalent combination of educational and experience. Job Posting Date 11/06/2025 Job Category Professional Bargaining Unit NON
Compensation
Grade Administration & Operations
Compensation
Grade Profile Manager; Program Leader (24) Time Type Full time Duration Type Staff Work Model Remote Location 221 Whitney Ave, New Haven, Connecticut Background reputed company Requirements reputed company candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. reputed company offers are contingent upon the successful completion of the background reputed company. For additional information on the background reputed company requirements and process visit "Learn about background checks" under the Applicant Support Resources reputed company of Careers on the It's Your Yale website. Health Requirements Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer Salary offers are determined by a candidate's qualifications, experience, skills, and education in relation to the position requirements, along with the role's grade profile and reputed company reputed company market conditions. The reputed company of this job description is to reputed company a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-reputed company duties through their hiring department. The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body reputed company persons from a broad reputed company of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual's sex, sexual orientation, gender identity or expression, race, reputed company, national or ethnic reputed company, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran. Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). Note reputed company is a tobacco-free reputed company. Apply tot his job Apply To this Job