As a Compliance Auditor with YRMC you will perform proactive and reactive internal and external audits and investigations for hospital and outpatient services, rendered to ensure proper documentation, medical necessity, and accurate coding and billing are supported. The Compliance Auditor will monitor standards and regulatory guidelines in billing and coding, keeping internal staff abreast of these guidelines and conducting appropriate compliance training and education with the physicians and staff.
Performs proactive and reactive internal and external audits and investigations for hospital and outpatient services rendered to ensure proper documentation, medical necessity, accurate coding and billing are supported.
Continually monitors regulations, standards and regulatory guidelines in coding and billing.
Conducts appropriate compliance training and education for physicians and staff (by request or as needed) using PowerPoint Presentations and Quick Reference Guides for ease of understanding and time management.
Conducts research for policies and department questions in billing, coding, regulatory and clinical indicators when requested which may include telephone calls, online research and/or in person contacts.
Completes reports as needed for Compliance, or other departments for the Board.
Support the Compliance Officer where and when needed in all areas of Compliance.
Attends Compliance Committee and other meetings as assigned.
Other duties as assigned.
Two (2) years or more related experience
Bachelors Degree in Health Care Administration
CPC (American Academy of Professional Coders)
Work Schedule: 8-hours, Days, Monday through Friday
Physical Requirements and working conditions for this position will be provided to you upon interview.
At Yuma Regional Medical Center, we believe that you shouldn’t have to travel far from home to receive the high-quality, compassionate medical care you deserve. Whether you’re a year-round resident or a winter visitor, you can entrust your care to our dedicated, experienced staff, knowing that you’ll receive the latest advances in medical technology and healthcare services right here, close to home. With a primary value of “Patients Come First,” our approach to care is Patient- and Family-Centered. We recognize the very important roles that patients and their family members can play in ensuring each patient’s health and well-being.
Our 406-bed, not-for-profit hospital is staffed by 2,400 employees, over 400 medical practitioners and hundreds of volunteers who are dedicated to serving the residents and visitors of Yuma and the surrounding area. The advanced medical care and treatment options we offer our patients have brought us national recognition.