Compliance Statement: It is the intent of Geisinger Health System to ensure that its affairs are conducted in accordance with applicable laws and regulations. It is GHS's intent to uphold the business integrity required of a participant in federally- funded healthcare programs and other contractual arrangements. Delivery of care must be in compliance with all laws and regulations applicable to such programs. It is the responsibility of every employee to proactively identify issues relating to potential fraud and abuse exposure and to comply with policies and procedures designed to minimize such exposure. Compliance in of itself is challenging because the regulatory requirements governing reimbursement are complex and changing.
This position is responsible for conducting examinations and evaluations of the adequacy and effectiveness of the organization's compliance initiatives. Participates in reviews related to performance quality of assigned responsibilities as defined by the organizations Compliance template or Compliance committee(s). This position will perform financial or other audit engagements or special projects throughout the Geisinger Health System.
COMPETENCIES AND SKILLS:
Demonstrates skill in medical record review, system analytics and software competency.
EDUCATION AND/OR EXPERIENCE:
Bachelor degree in health care related program plus four years of progressive coding or health care related auditing experience required.
An Associate degree in health care related program plus six years of progressive coding or health care auditing experience will be accepted in lieu of Bachelor degree.
Minimum of eight years of progressive coding or health care auditing experience may be accepted in lieu of degree.
Nationally recognized coding certification is required (RHIT, RHIA, CCS, CPC)
Clinical license/certification (ie. RN, LPN) is preferred.
Experience in large Revenue Cycle department is preferred.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in an office environment.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
GEISINGER MEDICAL CENTER: (GMC), located Danville, Pa., the largest tertiary/quaternary care teaching hospital in the region, is licensed for 475 beds, including 89 pediatric beds in the Janet Weis Children’s Hospital. GMC, a Magnet Hospital, maintains the region’s only Level 1 Regional Resource Trauma Center with additional qualifications in pediatrics. GMC offers an array of highly specialized medical and surgical services, including neurosciences, cardiovascular services, transplantation, women’s health (in the Women’s Pavilion), oncology and orthopaedics. The Hospital for Advanced Medicine serves as an integrated center for the most critical patients. Outpatient services are available on and off campus.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.