About WakeMed: Serving the community since 1961, WakeMed Health & Hospitals is a nationally recognized, private, not-for-profit health care organization founded and based in Raleigh, N.C. The largest health system in Wake County, WakeMed exists to improve the health and well-being of our community by providing outstanding, compassionate, patient- and family-centered care to all. The 919-bed system comprises a network of facilities throughout the Triangle area, delivering health and wellness services that bring added value to the communities we serve. WakeMed is a leader in cardiac and vascular care, women's and children's services, emergency medicine and trauma care, physical rehabilitation, orthopaedics and neurosciences. Specialty facilities include the WakeMed Heart Center, Children's Hospital, Women's Pavilion and Birthplace, Rehabilitation Hospital, Adult and Children's Emergency Departments and a Level 1 Trauma Center. WakeMed's team of more than 9,400 employees, 2,000 volunteers, 1,300 affiliated physicians, and the more than 300 physicians employed by WakeMed Physician Practices use the most advanced technologies along with the best minds and the biggest hearts to ensure the finest quality in health care and community health. For more information, visit www.wakemed.org.
As an Equal Opportunity Employer, WakeMed provides an inclusive work environment that promotes the valuing of differences, respect for people and cooperativeness among our diverse workforce. WakeMed does not discriminate against any employee or applicant in any terms or conditions of employment. All applicants/employees are considered for employment, transfer, promotion or training without regard to race, religion, color, gender, gender identity/expression, genetics, sexual orientation, age, pregnancy, national origin, disability or veteran status.
Position Information: The Compliance Auditor, Sr., Physician Billing is responsible for implementation of the Corporate Compliance Plan and ensures WakeMed Health & Hospitals is billing in accordance with federal and state regulations on facility documentation, coding, and billing. Works under direction of the Corporate Compliance leadership and functions at a high level of independence as to assigned projects while drawing on expertise and involvement of the team. Provides guidance to employees, serves as a department resource, and manages external vendors. Partners with hospital departments to analyze and resolve any coding or compliance related issues to minimize organizational risk. The position is responsible for individual projects and team projects as needed and must be able to work independently with minimal supervision and with a high level of accuracy and attention to detail. The position manages and assigns all physician related work plan projects to team members. Ensures team members adhere to the defined audit timeline and audit standard work processes. Assists with development of the audit schedule; identifies services to be audited.
Experience Requirements: 7 Years Auditing Or Compliance Or Accounting/Finance - Revenue Cycle Or Education - Teaching and Facilitation of Learning Or Process Improvement Required - And 8 Years Related Position Experience Preferred - And 13 Years Related Position Experience In Lieu of Degree
Education Required: Bachelor's Degree Business Administration Or Accounting Or Nursing Or Related Field Required
Licensure/Certification Requirements: Registered Health Information Administrator Or Registered Health Information Technician Or Certified Coding Specialist- Physician Or Certified Coding Associate Or Certified Professional Coder Or Certified in Healthcare Compliance Or Certified Documentation Improvement Practitioner Or Certified Fraud Examiner Or Registered Nurse Required
At WakeMed Health & Hospitals, we are guided by a simple – yet powerful mission: to improve the health and well-being of our community by providing outstanding and compassionate care to all.To deliver on this mission, WakeMed employs the “best minds and the biggest hearts” in the business. Our team includes over 8,500 experienced registered nurses, technologists, medical professionals, support staff, and a medical staff of more than 1,200 physicians and advanced practice providers who are dedicated to putting patients first.When it comes to culture and benefits, we recognize that when we take good care of our employees, our employees can take even better care of our patients. We proudly offer competitive salaries that reflect background, experience and special skills. Our benefits programs are designed to give you and your family the support you need for today while planning for a successful tomorrow. We promote diversity in the ...workplace, provide equal employment opportunity for all qualified applicants, and we participate in E-verify.We think it’s pretty simple – we care for our employees and our employees care for the community.