Medicare/Medicaid Compliance Auditor
Job Description
3 days in office, 2 days from home. Monday's are mandatory in-office in Linthicum.
First weeks of training will be in office.
The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you’ll enjoy as a member of our team. UMMS is currently seeking a Compliance Auditor at our corporate office in Linthicum, MD.
General Summary
Under general supervision, ensures that compliance initiatives are met for all the University of Maryland Medical System (UMMS) Member Organizations. Reviews and analyzes claims data, medical records, and billing and payment information to determine if charges and reimbursement are supported according to federal and state program guidelines. Significant contributor in the execution of the Corporate Compliance and Business Ethics Group (CCBEG) Auditing and Monitoring Plan. Contributes to the achievement of CCBEG goals and objectives and adheres to departmental policies, procedures, and standards.
Principal Responsibilities and Tasks
Qualifications
Education and Experience
Knowledge, Skills, and Abilities
Additional Information
All your information will be kept confidential according to EEO guidelines.