Healthcare Compliance Audit Analyst (Must have CPC, CCS-P, or CPMA)

General Summary: U.S. Urology Partners , LLC (USUP) and its physician groupsare committed to promoting conduct that is responsible, ethically sound, and compliance with applicable law. USUP’s Compliance Department (CD) fosters a corporate culture of ethical behavior and integrity in all matters related to compliance with the laws and regulations that govern the delivery and reimbursement of health care. An integral function of USUP’s compliance program is auditing and monitoring compliance with billing, coding, and documentation requirements of its providers. An CPC, CCS-P, or CPMA is required for this position. Compliance Audit Services: Compliance audit initiatives include physician, other providers, and facility documentation audits as well as preparation of guidance documents and tools to assist physicians and staff in appropriate billing, coding, and documentation. The audit program looks at professional fee billing, coding, and documentation as well as other areas that are identified by the CD. The audits to be performed each year are identified based on the then-current Office of Inspector General Workplan, its Compliance Guidance’s, and compliance risk analyses. Reporting to the Compliance Director, the Compliance Audit Analyst is responsible for the timely and effective completion of Health Care Integrity Program documentation audits and risk assessment projects for coding, documentation and billing accuracy as identified by the organization, CD, and the Office of th