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Job Details

Compliance Auditor

Company name
BREG, Inc.

Carlsbad, CA, United States

Employment Type

Audit, Compliance

Posted on
Feb 01,2019

Valid Through
May 17,2019

Apply for this job


\u003cp\u003e\u003cstrong\u003eAre you looking for an exciting opportunity?\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eWe currently have a full-time opening for a\u003cstrong\u003e Compliance Auditor \u003c/strong\u003ein\u003cstrong\u003e Carlsbad, CA\u003c/strong\u003e.\u0026nbsp; If you are looking for a fast paced environment where you can make a difference every day, then this is the opportunity for you!\u0026nbsp; The Compliance Auditor will conduct internal auditing and monitoring as well as special projects related to DMEPOS billing, accreditation standards, interactions with healthcare providers and other ad hoc audits under the direction of the Compliance Audit Manager.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eYour day will be very busy\u0026hellip; this person: \u003c/strong\u003e\u003c/p\u003e
\u003cli\u003eCollaborates with the Compliance Audit Manager in designing and executing internal, external and provider audits. Completes special projects related to DMEPOS billing practices, accreditation standards, interactions with healthcare providers and other ad hoc audits under the direction of the Compliance Audit Manager.\u003c/li\u003e
\u003cli\u003eIdentifies, documents and presents audit findings and suggests appropriate corrective actions to Compliance management.\u003c/li\u003e
\u003cli\u003eDevelops and tracks corrective action plans that result from audits.\u003c/li\u003e
\u003cli\u003eReviews payments and denials from payors and recommends appropriate billing corrections or options for appeals.\u003c/li\u003e
\u003cli\u003eAnalyzes issues/questions from both a compliance and billing/reimbursement perspective.\u003c/li\u003e
\u003cli\u003eTracks and communicates changes to laws, regulations, administrative code, accreditation standards, and best practice guidelines related to accounting, finance, coding, billing practices, human resources and other departments.\u003c/li\u003e
\u003cli\u003eMonitors and communicates changes in third-party payor and Medicare/Medicaid billing regulations, laws and guidelines.\u003c/li\u003e
\u003cli\u003eAssists with providing ongoing training and guidance regarding billing compliance to various Breg departments.\u003c/li\u003e
\u003cli\u003eAssists with developing and reviewing/updating company policies and procedures to ensure integrity and compliance with federal, state, agency, legal, regulatory and corporate requirements.\u003c/li\u003e
\u003cli\u003eConducts routine federal, state and other regulatory agency exclusion screenings.\u003c/li\u003e
\u003cli\u003eCollaborates with other departments within the company to identify potential risk areas or further opportunities for improvement.\u003c/li\u003e
\u003cli\u003eParticipates in and provides compliance support for special projects and other initiatives.\u003c/li\u003e
\u003cli\u003eMaintains organized and detailed electronic files and filing system to ensure all documentation is secure and retained in accordance with company record retention policy.\u003c/li\u003e
\u003cp\u003e\u003cstrong\u003eThe right person to join our team...\u0026nbsp; \u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eDemonstrates ownership and accountability; demonstrates the ability to plan, execute, control and deliver; to communicate effectively both written and verbal; to work independently with minimal supervision; to lead and influence others effectively and impart knowledge efficiently through various methods of training.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eWhat your background will be:\u003c/strong\u003e\u003c/p\u003e
\u003cli\u003eBachelors\u0026rsquo; degree strongly preferred or an equivalent combination of education and experience.\u003c/li\u003e
\u003cli\u003e5 years\u0026rsquo; DMEPOS experience in a billing or reimbursement role; 2 years in a compliance or audit role in the healthcare industry.\u003c/li\u003e
\u003cli\u003eWorking knowledge of health care compliance related regulations, laws and practices such as HIPAA and HITECH Act, Stark, Anti-kickback, OIG, DOJ, and all other applicable regulatory requirements relating to accounting, finance, human resources, coding, and billing.\u003c/li\u003e
\u003cli\u003eStrong knowledge of commonly-used concepts, practices, and procedures relating to Medicare/Medicaid billing regulations and other federally funded plan rules and regulations, third party payors, medical claims billing and auditing (CERTS, TPE Probe, RACS, UPICS, etc.), DMEPOS documentation requirements, CPT, HCPCS and ICD-9/ICD-10 diagnosis coding, and the DMEPOS and healthcare compliance industry.\u003c/li\u003e
\u003cli\u003eRequires proficiency in Excel, Word, PowerPoint, Outlook, Adobe Acrobat, Concur Expense Reporting, RAT-STAT Statistical Software. Strong technical skills to gain proficiency in the BCS.\u003c/li\u003e
\u003cli\u003eCPC certification or desire to pursue this certification is strongly preferred.\u003c/li\u003e
\u003cp\u003e\u003cstrong\u003eOther Requirements...\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e
\u003cp\u003eMust be able to travel to Breg affiliated locations as well as travel to meet business needs.\u003c/p\u003e
\u003cp\u003eFor four consecutive years Breg has been awarded The National Business Research Institute (NBRI) \u003cstrong\u003eCircle of Excellence Award \u003c/strong\u003efor employee engagement AND Breg has been awarded as one of the Best Places to work in San Diego in 2014 by \u0026ldquo;The U-T San Diego Top Workplaces\u0026rdquo;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u003c/p\u003e
\u003cp\u003eIf you meet the requirements above and would like to apply for this position, please visit our website at \u003cstrong\\u003c/strong\u003e and click on the \u0026lsquo;Careers\u0026rsquo; section.\u003c/p\u003e
\u003cp\u003eBreg is an Equal Employment Opportunity Employer and dedicated to a diverse work force and Drug Free work environment. EOE/Minorities/Females/Vet/Disabled are encouraged to apply.\u003c/p\u003e

Company info

BREG, Inc.
Website :

Company Profile
Breg provides premium, high-value sports medicine products and services that advance orthopedic patient care. From pioneering cold therapy products and innovative bracing to caring customer service and award-winning orthopedic practice solutions, Breg delivers a 360°customer experience unmatched in the industry.

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