Community Regional Medical Center Compliance Revenue Integrity Analyst-Internal Audit and Compliance FT(8hr) in Fresno, California

JOB SUMMARY Provides compliance support designed to add value consistent with CMC mission and vision by planning, designing, implementing and maintaining system-wide compliance program. Responsible for conducting compliance related reviews as assigned, review departmental self-monitoring and processes or activities of the entities of Community Medical Centers (CMC). Works closely with financial and clinical departments to ensure compliance with government, payer, and internal charge capture policies. EXPERIENCE AND EDUCATION: MINIMUM REQUIRED: Bachelor’s degree in Accounting, Finance, Information Systems/ Computer Science, Nursing or Health Care, Compliance or related field and five years’ experience in Healthcare. Ten years’ experience in Hospital Internal Audit, Compliance and/or Charge Master description maintenance may be substituted in lieu of education. Must have experience in Charge Description Maintenance or performing medical record and billing reviews including clinical documentation, medical terminology, codes (CPT, HCPCS, ICD-9-CM and revenue) and reviews for charge and reimbursement accuracy. Knowledge of federal, state and private payor guidelines. Experience working with enterprise databases and analytics. Demonstrated experience working with MS Office, Electronic Health Records, and the implementation of institutional applications. LICENSES/CERTIFICATIONS MINIMUM REQUIRED: One of the following certifications: Certified Internal Auditor (CIA), Certified in Healthcare Compliance (CHC), Certified Compliance Professional, (CCP), Certified Compliance Executive (CCE), Certified Coding Associate (CCA), Certified Medical Audit Specialist (CMAS), Certified Professional Coder - Hospital (CPC- H), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT). PREFERRED: Two or more of the above certifications.

Job Title: Compliance Revenue Integrity Analyst-Internal Audit and Compliance FT(8hr)

Facility: Community Medical Centers - Corp

Employment Type Description: Full Time - 8hour

Location: Community Medical Center-Corporate

Shift Hours/Days: Mon-Fri

Job Number: JO-1603-17452

Date Posted: 9/21/2016

City: Fresno

State: CA

Minimum Years Experience: 5

Required Degree: Bachelor's (Any)