Northwell Health
Surgical Anesthesia Compliance Auditor
Northwell Health, Chappaqua, New York, United States, 10514
Experienced Medical Compliance Auditor
Compliance Auditor - Hybrid position- Chappaqua, NY- $100K-$115K
Are you passionate about healthcare compliance and eager to make a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position offers the perfect blend of in-office collaboration and remote work, all while contributing to an organization committed to excellence in patient care and regulatory adherence.
In this pivotal role, you'll leverage your healthcare environment experience-whether as a Certified Professional Coder or similar professional-to audit and monitor clinical records, ensuring accuracy, completeness, and compliance. Your expertise with medical terminology, coding, and documentation will support our mission to uphold the highest standards of integrity and ethical practice. You'll conduct anesthesia chart reviews, identify billing and coding discrepancies, and communicate findings effectively to practitioners and teams.
Responsibilities
Support the Compliance Officer and the overall Compliance Program
Conduct anesthesia chart reviews to ensure records are complete, accurate, and support proper billing and coding
Audit anesthesia records focusing on quality, completeness, and correctness of claims based on services provided
Communicate review findings clearly and effectively to anesthesia practitioners and internal departments
Identify and address billing and coding gaps, including issues related to Time, Place of Service, Modifiers, CPT, and Diagnosis coding
Perform periodic probe audits to detect coding discrepancies that may lead to over- or under-billing
Document audit results and maintain reports; support educational efforts to improve compliance practices
Collaborate with internal departments and external auditors/consultants for billing and coding audits or consultations
Assist in addressing compliance concerns raised by staff through confidential mechanisms
Research documentation in ancillary systems to resolve overlapping times and billing issues
Support special requests for case logs, documentation, and records for anesthesia services as needed
Stay current on industry trends, regulatory updates, and best practices to ensure ongoing compliance
Serve as a backup to the Compliance Officer in their absence
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts,
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In this pivotal role, you'll leverage your healthcare environment experience-whether as a Certified Professional Coder or similar professional-to audit and monitor clinical records, ensuring accuracy, completeness, and compliance. Your expertise with medical terminology, coding, and documentation will support our mission to uphold the highest standards of integrity and ethical practice. You'll conduct anesthesia chart reviews, identify billing and coding discrepancies, and communicate findings effectively to practitioners and teams.
Responsibilities
Support the Compliance Officer and the overall Compliance Program
Conduct anesthesia chart reviews to ensure records are complete, accurate, and support proper billing and coding
Audit anesthesia records focusing on quality, completeness, and correctness of claims based on services provided
Communicate review findings clearly and effectively to anesthesia practitioners and internal departments
Identify and address billing and coding gaps, including issues related to Time, Place of Service, Modifiers, CPT, and Diagnosis coding
Perform periodic probe audits to detect coding discrepancies that may lead to over- or under-billing
Document audit results and maintain reports; support educational efforts to improve compliance practices
Collaborate with internal departments and external auditors/consultants for billing and coding audits or consultations
Assist in addressing compliance concerns raised by staff through confidential mechanisms
Research documentation in ancillary systems to resolve overlapping times and billing issues
Support special requests for case logs, documentation, and records for anesthesia services as needed
Stay current on industry trends, regulatory updates, and best practices to ensure ongoing compliance
Serve as a backup to the Compliance Officer in their absence
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts,
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