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Highmark Health

Creating remarkable health experiences, freeing people to be their best.

Senior Compliance Auditor

AuditorAuditorFull TimeRemoteSeniorTeam 10,001+Since 1852H1B SponsorCompany SiteLinkedIn

Location

Louisiana + 4 moreAll locations: Louisiana, North Carolina, Maryland, Pennsylvania, Washington

Posted

7 days ago

Salary

$33 - $54 / hour

Seniority

Senior

Bachelor Degree7 yrs expEnglish

Job Description

• Leads all hospital or physician audits/investigations • Provides guidance to other auditors • Conducts educational sessions for hospital/physician staff • Analyzes and summarizes PEPPER reports

Job Requirements

  • Bachelor's degree in nursing
  • 7 years in utilization review, case management, hospital/physician coding and documentation audits/reviews
  • Master’s degree (preferred)
  • RHIT, RHIA certification (preferred)

Benefits

  • Health insurance
  • 401(k) matching
  • Flexible work hours
  • Paid time off

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