Compliance Auditor

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• South Florida Business Journal, Best Places to Work 2024
• Inc. 5000 Fastest-Growing Private Companies in America 2024
• 2024 Black Book Awards, ranked #1 EHR in 11 Specialties
• 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold)
• 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara)

Who we are:

We Are Modernizing Medicine (WAMM)! We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed is based in Boca Raton, FL, with office locations in Santiago, Chile, Berlin, Germany, Hyderabad, India, and a robust remote workforce with team members across the US.

The Compliance Auditor performs internal compliance audits and supports external audits as necessary at the direction of the Senior Director, Billing and Coding Compliance. This includes reviewing records, reports, software, and any other relevant programs and related activities. In addition, this position may be required to audit other auditors within the company or our vendors. Following an audit, the Compliance Auditor creates an audit report with recommendations regarding changes to procedures or practices that are not in compliance with stated regulations and helps to implement a plan to address such changes. The auditor monitors the corrective action plan to ensure that the company makes necessary changes. The Compliance Auditor also assists with operations support regarding the tracking of Jira tickets, incidents, and issues within areas of oversight.

Roles and Responsibilities:

• Perform regular and ad hoc billing and coding audits and analyses
• Prepares written reports of audit results, including recommendations for improvements and in compliance with state and federal laws and regulations
• Works with audit tools and in accordance with related policies and procedures for the compliance program
• Conducts auditing and monitoring activities and reviews necessary information at the direction of the Senior Director, to be in compliance with regulations and/or policies and procedures
• Generates and maintains all audit documentation, reports, and recommendations
• Communicates with the compliance analyst and the Senior Director regarding audit results and may provide that information to key stakeholders regarding audit findings and corrective actions if necessary
• Provides ongoing status reports to the team
• Creates and updates compliance reports and metrics in a timely manner
• Regularly monitors compliance with recommendations as a result of audits performed

Educational qualification:

• Any Bachelors degree preferably from Finance/Accounting background

Experience and Skills Requirements:

• 5 years of compliance experience, including 3+ years of experience in medical coding auditing required
• Medical coding certificate required such as; CCS-P, CPC, or CPCA
• Compliance certification preferred (CHC)
• Proficient in Excel; i.e. pivot tables, lookups, advanced formulas
• Strong knowledge of compliance programs and systems
• Ability to prioritize work and exercise sound judgment
• Ability to effectively manage multiple tasks and projects
• Strong attention to detail, analytical thinking, and organizational skills

ModMed Benefits Highlight:

At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits, including:

• Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution,
• 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
• Generous Paid Time Off and Paid Parental Leave programs,
• Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs,
• Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed,
• Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning,
• Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,
• Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.