Compliance Analyst
Sound Physicians
full-time
Posted on:
Location Type: Remote
Location: Washington • United States
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Job Level
About the role
- Conduct research and analyze large datasets from various sources to prevent fraud, waste, and abuse
- Conduct reviews and assessments across multiple service lines to ensure adherence to state and federal regulations
- Serve as a liaison, assisting with communication with other Central Services departments
- Develop fraud detection tools and prepare reports of findings
- Monitor system outputs for integrity and error identification
Requirements
- High school Diploma or GED certificate
- Coding Certification required (Any of CPC, CPC-H, CCS, CCS-P)
- At least one year of experience coding Evaluation and Management services
- Knowledge of auditing concepts and principles
- Skills in research, auditing, risk assessment, and communication
- Knowledge and understanding of professional fee coding (CPT and ICD-10)
- Strong written and verbal communication and interpersonal skills
- Ability to adapt, modify, and prioritize audit functions as required
Benefits
- Flexible work arrangements
- Professional development
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisfraud detectioncodingauditingrisk assessmentCPT codingICD-10 coding
Soft skills
communicationinterpersonal skillsadaptabilityprioritization
Certifications
CPCCPC-HCCSCCS-P