Compliance Auditor, Intermediate (Hybrid Remote)

• High School Diploma or equivalent required.
• Associate’s degree or comparable technical school diploma is preferred.
• 3 or more years of experience in medical coding, billing, auditing and compliance.
• Extensive knowledge of CMS, and third-party payer coding, billing, and documentation compliance regulations required (MS-DRG, APR-DRG, APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.).
• Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M codes.
• Experience in an academic medical center setting is strongly preferred.
• Proficiency with associated technology solutions such as Microsoft Excel, Word and PowerPoint is strongly preferred.
• Must be able to demonstrate a high degree of professionalism, enthusiasm and initiative daily.
• Must have strong interpersonal, organizational, analytical and communication skills.
• Ability to work in a fast-paced environment.
• Must have ability to manage multiple tasks and projects and forge strong interpersonal relationships within the department and with other departments.
• Ability to identify, interpret and summarize relevant policy and regulation in a clear and timely manner is essential.
• Experience researching and interpreting regulation and performing internal investigations is essential.

  Licensure, Certifications, and Clearances:

• Certified Coding Specialist (CCS)
• Certified Inpatient Coder (CIC)
• Certified Evaluation & Management Coder (CEMC)
• Certified Professional Medical Auditor (CPMA)
• Certified Professional Coder (CPC)
• Certified Medical Coder (CMC)
• ORRegistered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• ORLicensed Professional Nurse (LPN)
• Registered Nurse (RN)
• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran