Manage and conduct medical billing audits for the Yale Medical Group (YMG). Evaluate medical billing, coding and documentation for 18 clinical departments under the direction of the Compliance Officer. Provide training and feedback to physicians and departmental personnel who have responsibilities with billing activities.
Posting Position Title: Compliance Auditor
University Job Title: Compliance Auditor
Work Week: Standard (M-F equal number of hours per day)
Required Skill/ability 1: Comprehensive knowledge of ICD-10 and CPT-4 coding and billing practices.
Required Skill/ability 2: Ability to interpret operative and procedural reports is required.
Required Skill/ability 3: Knowledge of Evaluation and Management documentation guidelines is beneficial.
Required Skill/ability 4: Ability to analyze and communicate information effectively.
Required Skill/ability 5:
Preferred Education, Experience and Skills: CPC credentials. Computer skills include EPIC, WEBI, Word, Excel, and Access. Related clinical field background. Experience in healthcare auditing; Medicare and Medicaid; or related clinical experience.
Required Licenses Or Certifications:
Bachelor's in Health Care Management, Finance, Business or Nursing or a related field. Five years' experience in multi-specialty group practice, academic plan or hospital or an equivalent combination of educational and experience.
Yale University is an American private Ivy League research university located in New Haven, Connecticut. Founded in 1701 in the Colony of Connecticut, the university is the third-oldest institution of higher education in the United States.