3 days in office, 2 days from home. Monday's are mandatory in-office in Linthicum.
First weeks of training will be in office.
TheUniversity of Maryland Medical Systemisa 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women's and children's health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you'll enjoy as a member of our team. UMMS is currently seeking aCompliance Auditorat our corporate office in Linthicum, MD.
General Summary
Under general supervision, ensures that compliance initiatives are met for all the University of Maryland Medical System (UMMS) Member Organizations. Reviews and analyzes claims data, medical records, and billing and payment information to determine if charges and reimbursement are supported according to federal and state program guidelines. Significant contributor in the execution of the Corporate Compliance and Business Ethics Group (CCBEG) Auditing and Monitoring Plan. Contributes to the achievement of CCBEG goals and objectives and adheres to departmental policies, procedures, and standards.
Principal Responsibilities and Tasks
If relocating locally to Maryland, please note that in your application.
A successful candidate will have a clinical background as an RN or LPN, in conjunction with direct experience in hospital auditing, joint commission, patient criteria knowledge, and hospital coding
Being among the top 25 employers in the state and recently recognized as America'sBest Large Employer 2021 by Forbes, UMMS brings together a diverse andcollaborative team of innovators committed to caring for our Marylanders, advancingmedicine, and transforming lives. At UMMS, people are our priority - and that includesour patients, our community and our employees. We take your wellbeing, growth andwork-life balance seriously.
Education and Experience
Knowledge, Skills, and Abilities
All your information will be kept confidential according to EEO guidelines.