Join UPMC Corporate Compliance as a Senior Compliance Auditor!

Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing? Do you thrive in a dynamic environment where your expertise can make a significant impact? UPMC Corporate Compliance is seeking a dedicated and detail-oriented Senior Compliance Auditor to join our team! This position will be based out of Forbes Tower in Pittsburgh, PA.

Key Responsibilities:

·       Comprehensive Auditing: Conduct UPMC-wide audits to ensure medical record documentation supports the services coded and billed in accordance with state and federal regulations.

·       Code Validation: Validate ICD-10-CM, CPT, and HCPCS codes to ensure consistency and efficiency in claims processing, data collection, and quality reporting.

·       Regulatory Compliance: Conduct audits on various compliance topics to evaluate adherence to state and federal laws, regulations, and policies.

·       Reporting: Prepare written reports of audit results, including recommendations for improvement and compliance with state and federal laws and regulations.

·       Stakeholder Communication: Communicate audit findings and corrective actions to key stakeholders.

·       Leadership Advising: Advise leadership on regulatory requirements for coding documentation and billing to ensure services are submitted according to payor guidelines and related regulations.

·       Knowledge Maintenance: Stay current with regulatory trends and changes in coding policy and reimbursement methods.

Why UPMC?

At UPMC, we are committed to fostering a culture of compliance and excellence. As a Senior Compliance Auditor, you will play a crucial role in upholding our standards and ensuring the highest level of integrity in our operations. Join us and be part of a team that values your expertise and dedication to making a difference in healthcare compliance.

Apply today and take the next step in your career with UPMC Corporate Compliance!