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Hartford HealthCare

Revenue Compliance Auditor

Hartford HealthCare, Hartford, Connecticut, us, 06112

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Overview Join to apply for the

Revenue Compliance Auditor

role at

Hartford HealthCare .

Location:

100 Pearl Street Hartford (10484)

Shift:

Monday-Friday 8:00am-4:30pm

Work Location Type:

In Person

Work where every moment matters. Hartford HealthCare is Connecticut’s most comprehensive healthcare network.

Responsibilities

Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director.

Maintains organized files to support audit observations and drafts related audit reports in accordance with agreed-upon standards in a timely manner.

Collaborates with business owner to develop agreed-upon action plans to address findings identified during an audit.

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.

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 (HHS/OIG, Medicare, Medicaid, NGS, Commercial Insurers, etc).

Assists with review and/or investigation of Compliance Line reports as requested by the Manager or Director.

Assists with the development and revision of HHC and Department Policies and Procedures.

Participates in the annual and ongoing risk assessments to develop and revise the Revenue Compliance Work Plan.

Qualifications Education:

Bachelor’s Degree Required

Experience:

A minimum of two (2) years of health care compliance experience, preferably in a large Healthcare system setting or in a consulting capacity.

Knowledge, Skills And Ability Requirements:

Strong Excel skills, including the ability to organize data, enter formulas, and create reports

Excellent verbal and written communication skills

Strong general technology knowledge

Proven ability to provide support to multiple users with varying needs

Proven experience building and maintaining relationships

Strong attention to detail and advanced organizational skills

Proven ability to handle multiple tasks at once

Proven analytical problem solver

Strong organizational skills with the ability to successfully manage multiple priorities

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