The Senior Compliance Analyst is responsible for performing billing audits to ensure compliance to Medicaid coding and medical records documentation standards. Although daily reporting will be to the Compliance Supervisor, this position will have direct access and work frequently with the Corporate Compliance Officer, and the Manager Billing Compliance. She/he interacts frequently with all levels of personnel within the organization and handles highly confidential organizational information. Contributes to departmental goals and objectives by reviewing person’s Health supported billing practices against regulatory requirements. Assists with mitigating the risk of penalties and fines (which can be very material in amount) due to improper billing practices.
Scope: The Senior Compliance Analyst will audit and evaluate the level of compliance of all agency Programs/departments towards applicable OMIG, OMH standards and various health authority regulation.