Compliance Auditor

Location:Lee Health Corporate Center -4211 Metro ParkwayFort Myers FL 33916

Department: Compliance

Work Type: Full Time

Shift: Shift 1/8:00:00 AM to 4:00:00 AM

Minimum to Midpoint Pay Rate:$30.27 - $40.86 / hour

We are currently seeing an Compliance Auditor who will work with Acute and Post-Acute Services. Knowledge of Epic is a must. This position requires 5 years of experience working as an RN. Compliance and Auditing are a plus but not required.The current schedule is a hybrid model with some days in the corporate office and some remote. Looking for someone who is flexible and adaptable and has excellent critical thinking skills. May occasionally travel to sites.

Lee Health is Southwest Floridas premier community-owned health system, serving Fort Myers, Cape Coral and surrounding communities. At Lee Health we value Education, Respect, Compassion, and Excellence. We treat all of our employees with dignity and respect, and reward them for a job well done. We empower them to explore career options that they are passionate about, expand their skill sets and do their very best. Patient care services are offered at six acute care hospitals, over 90 Lee Physician Group clinics, skilled nursing units, home health and more!

• Competitive Pay
• Room for growth and development in your career
• An environment of Supportive People
• Generous Paid Time Off
• Top Tier Health Coverage with no cost services at Employee Health Clinics
• Education Reimbursement after 90 days
• Up to 5% retirement match
• Supplemental benefits (Pet Insurance/Legal Insurance/Etc)

The Compliance Auditor will assist in the overall compliance audit and investigative activities to ensure organizational compliance with applicable laws, regulations, and standards of conduct. This person will conduct planned audits, probe audits, chart reviews and contribute to the annual Compliance risk assessment. The Compliance Auditor will also verify reimbursement and/or coding when appropriate. The Compliance Auditor will help complete compliance work plans and provide staff education and internal guidance to operational departments. This person also will investigate compliance and ethical concerns, such as reports of fraud, waste, and abuse.

Five years of clinical experience and knowledge of health system operations. Prior regulatory compliance or audit experience preferred.

Coding Certification (CCA, CCS, CCS-P, CPC,or CPC-H) required within one (1) year of hire. Compliance certification (CHC) required within two (2) years of hire.

Strong research skills and knowledge of clinical quality concepts, medical necessity, clinical documentation, and medical terminology. Knowledgeable in compliance-oriented tasks including reviewing coverage determinations, Medicare materials, final rules, regulations, and organizational policies, preferred. Ability to handle multiple tasks and demonstrate good communication skills preferred. Proficient in the use of Microsoft Office programs and ProDiver reporting application preferred.

US:FL:Fort Myers