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Clinical Compliance Auditor (Corvallis, OR)

Company: Samaritan Health Services Hospitals
Location: Corvallis
Posted on: December 6, 2018

Job Description:

Our passion is providing world-class health care. On the job and off, each of our employees brings the skills and personal commitment to contribute to the health of the region we call home. If you're like the thousands of Samaritan professionals who aspire to serve others, join us. Samaritan Health Services is currently recruiting for a Clinical Compliance Auditor who will be responsible for screening and coordinating clinical payment denials and appeals as appropriate for the Regional Business Office (RBO), CM or HIM, reviewing denied accounts for inappropriate billing status, medical necessity and other clinical indicators related to a denied service, authorizing a change in billing status when appropriate and working with Revenue Cycle management, Compliance and Revenue Audit teams to complete internal and external audits. The Compliance Audit Team is responsible for auditing, monitoring and investigation of services provided at Samaritan Health Services with applicable federal/state rules and regulations. Requirements/Preferences: Current unencumbered Oregon RN Licensure required.One (1) year hospital Utilization Review, Case Management and/or billing experience requiredExperience or training in hospital billing, reimbursement or hospital financial practices requiredBachelor's degree in nursing or advanced training in UM or Case Management preferred.Previous hospital clinical experience with positive outcomes preferred.Experience or training in MS Office, computer applications and statistics preferred.Experience in analyzing standards of variance and implementing strategies to resolve them preferred. Schedule/Shift: Full timeDay shift To apply online, or for additional information about employment opportunities, please visit our website at: http://www.samhealth.org/employment OregonLive.com.Category: Marketing & Biz Dev, Keywords: Regulatory Compliance Auditor

Keywords: Samaritan Health Services Hospitals, Corvallis , Clinical Compliance Auditor (Corvallis, OR), Healthcare , Corvallis, Oregon

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