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Clinical Compliance Analyst

Company: Lehigh Valley Hospital & Health
Location: Allentown
Posted on: August 6, 2022

Job Description:

Full Time 40 hours

2100 Mack Blvd

Professional Non-Clinical

Day Shift

Job Summary:

Conducts health system wide institutional audits to ensure compliance with federal and state regulations pertaining to but not limited to federal healthcare program requirements, coding, medical record documentation and billing; interpretation of applicable federal and state law and regulations to plan audit parameters; determine department's compliance with such regulations and communicate to department necessary changes in compliance with regulatory requirements.

Education - Required:

* Bachelor's Degree in Healthcare Related field.

Experience - Required:

* 5 years Healthcare and/or Hospital Operations

Knowledge, Skills, and Abilities - Required:

* Strong knowledge of Medicare/Medicaid regulations, including billing, coding and documentation requirements.
* Problem solving and research skills able to investigate potential noncompliance situations and recommend appropriate action.
* Excellent verbal and written communication skills. Ability to interact well with all levels of employees and coordinate with others to implement corrective action and resolve issues/concerns.
* String computer skills, (MS-Word, Excel, Outlook and PowerPoint.
* Good working knowledge of electronic health record systems (e.g. EPIC).

Licensure - Required:

* Registered Nurse Upon Hire

Certifications - Required:

* RHIT - Registered Health Information Technician CHC, CPC, RHIA, CCS Upon Hire
* Certified Expert Coder-AHIMA or AAPC Upon Hire

(#LI-ML1)

Keywords: Lehigh Valley Hospital & Health, Allentown , Clinical Compliance Analyst, Healthcare , Allentown, Pennsylvania

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