OSF Healthcare Careers

Compliance RAC Auditor - PIO000258

Hours per week: 40
Status (Benefits): Full-Time
Work Schedule: Monday - Friday; 8 am - 4:30 pm
Location: 1420 W Pioneer Pkwy, Peoria, IL, United States

1420 W Pioneer Pkwy, Peoria, IL, United States

Job Description

Description

The Compliance RAC Auditor provides guidance, support and oversight to OSF Healthcare System to ensure effective management of all government claim audits such as Recovery Audit Contractors (RAC), Medicare Administrative Contractor (MAC), Comprehensive Error Rate Testing (CERT) and Office of Inspector General (OIG). This role’s responsibilities include the response/appeal process; tracking requests and progress throughout the audit process; evaluating data associated with RAC and other governmental audit activities; tracks and measures the effectiveness of OSF responses and assesses additional potential reimbursement risks due to current RAC and governmental audit activity. Assesses risk, plans, and performs proactive audits to promote compliance with government rules and regulations.

Qualifications

REQUIRED QUALIFICATIONS:

 

Associates in Nursing; BSN within 6 years of hire

 

5 years of nursing or coding experience

 

Current Illinois RN license

 

Working knowledge of statistical analysis, sampling techniques and reporting methods.

 

Working knowledge in developing clear and informative reports.

 

Working knowledge of Microsoft Office (Outlook, Word, PowerPoint and Excel)

 

Strong organizational skills and the ability to address multiple issues and coordinate multiple initiatives with appropriate prioritization

 

Working knowledge of reviewing statutory, regulatory and billing instruction language and apply it to compliance audits

 

Must ascribe to represent Catholic Religious Ethics, Values, and Principles as they relate to the practice of Catholic health care

 

 

PREFERRED QUALIFICATIONS:

 

Bachelor’s degree in nursing

 

Working knowledge of federal and state statutes and regulations governing the healthcare industry

 

Working knowledge of Epic

 

Certification in compliance and/or auditing

 

 

 

 

EOE/Minorities/Females/Vet/Disabled

Job seekers will be afforded equal opportunity regardless of their race, ethnicity, veteran status or disability status.

 

Experience the OSF culture and community by clicking here.

 

 

 

Job seekers will be afforded equal opportunity regardless of their race, ethnicity, veteran status or disability status.

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