Senior Compliance Auditor
Highmark Health
full-time
Posted on:
Location Type: Remote
Location: Louisiana • Maryland • United States
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Salary
💰 $33 - $54 per hour
Job Level
About the role
- Leads all hospital or physician audits/investigations
- Provides guidance to other auditors
- Conducts educational sessions for hospital/physician staff
- Analyzes and summarizes PEPPER reports
Requirements
- Bachelor's degree in nursing
- 7 years in utilization review, case management, hospital/physician coding and documentation audits/reviews
- Master’s degree (preferred)
- RHIT, RHIA certification (preferred)
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
utilization reviewcase managementhospital codingphysician codingdocumentation auditsPEPPER report analysis
Soft Skills
leadershipguidanceeducational trainingcommunication
Certifications
RHITRHIA