Top 39 Compliance auditor Jobs in Rochester, Ny

Compliance Analyst II
University of Rochester —Rochester, NY
- $64,200 - $96,200 a year
- Full-time
- Hybrid work
- Public speaking
- Research
- Mid-level
Internal Auditor I
Five Star Bank —Rochester, NY
- $64,000 - $70,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Information Systems Auditor 1,(SG-23) Item# 02936
State of New York - State Comptroller, Office of the —Rochester, NY
- $86,681 - $109,650 a year
- Full-time
- Background check
- Office
- Windows
- Paid holidays
- Health insurance
11d
Claims & Compliance Systems Specialist
BENE-CARE —Webster, NY
- $70,000 - $80,000 a year
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Analysis skills
Quick Apply
2d
Sr Quality & Compliance Spec
University of Rochester —Brighton, NY
- $70,600 - $105,800 a year
- Full-time
- Nursing
- 5 years
- Office
Lead Contract Compliance Analyst
University of Rochester —Rochester, NY
- $77,600 - $116,400 a year
- Full-time
- Finance
- Analysis skills
- University
Internal Audit Coordinator
TRILLIUM HEALTH INC —Rochester, NY
- $22.56 - $32.49 an hour
- Full-time
- HIPAA
- Mid-level
- 2 years
Quick Apply
Hotel Night Auditor
Spark by Hilton —Rochester, NY
- $18 - $20 an hour
- Part-time
- Microsoft Word
- Sales
- Basic math
Quick Apply
Healthcare Audit Senior Associate
WithumSmith+Brown —Rochester, NY
- $67,000 - $73,000 a year
- Full-time
- Hybrid work
- CPA
- Bachelor's degree
- GAAP
Quick Apply
3d
QA Specialist RN Auditor
CDS Monarch, Inc. —Webster, NY
- $37 - $40 an hour
- Part-time
- 18 years or older
- Nursing
- RN License
Quick Apply
Senior Associate, Quality Engineering 1
L3Harris Technologies —Rochester, NY
- $73,000 - $135,000 a year
- Bachelor's degree
- Travel
- Organizational skills
- Paid holidays
- Disability insurance
Sr. Quality Program Manager, Customer Defect Tracking & Resolution
Thermo Fisher Scientific —Rochester, NY
- $118,100 - $177,200 a year
- Full-time
- 7 years
- Engineering
- Office
- Commuter assistance
- Paid parental leave
Sr Quality Engineer
Grote Industries —Avon, NY
- $95,000 - $110,000 a year
- Full-time
- Hybrid work
- Office
- Ability to climb stairs
- Bachelor's degree
Quick Apply
Night Auditor
Fairfield inn Rochester Airport —Rochester, NY
- $17.50 - $19.00 an hour
- Weekends as needed
- Microsoft Word
- Hotel
- Ability to lift 50 pounds
- Free parking
- Paid holidays
Senior Internal It Auditor
Wegmans Food Markets —Rochester, NY
- $75,000 - $85,000 a year
- Full-time
- Mid-level
- 3 years
- Master's degree
- Health insurance
- Paid time off
Sr Spec, Quality Engrg
L3Harris Technologies —Rochester, NY
- $84,000 - $156,000 a year
- Bachelor of Science
- Mid-level
- Travel
- Paid holidays
- Disability insurance
HR Compliance Specialist, HR Operations
Rochester General Hospital —Rochester, NY
- $21 - $28 an hour
- Full-time
- Mid-level
- Office
- Analysis skills
Quick Apply
2d
Hotel Night Auditor
Everhome Rochester —Rochester, NY
- $17.00 - $18.50 an hour
- Overnight shift
- Sales
- Inventory management
- Hotel
Quick Apply
Compliance Specialist - Fulltime - In Office
HCR Home Care —Rochester, NY
- $22 - $27 an hour
- Full-time
- Mid-level
- Office
- Associate's degree
Quick Apply
2d
Front Desk Agent and Night Auditor
Visions Hotels —Rochester, NY
- From $17.75 an hour
- Part-time
- Bilingual
- Writing skills
- In-person
Quick Apply
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Compliance Analyst II

University of Rochester -
Rochester, NY

Apply Now

Job Details

Full-time
$64,200 - $96,200 a year

Qualifications

Confidential information handling
Audit report preparation
Team leadership
Presentations for conferences or internal meetings
Research
Managing projects
Productivity software

Full Job Description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

Department:

900017 Compliance Office

Work Shift:

UR - Day (United States of America)

Range:

UR URG 111

Compensation Range:

$64,200.00 - $96,200.00

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

Provides compliance oversight and support for assigned clinical specialties across URMC and Affiliates in accordance with the OIG and OMIG compliance program guidance. Evaluates adherence to coding and billing regulations and guidelines through review, research, and analysis. Serves as a compliance resource, developing and delivering comprehensive education and training. Conducts investigations, risk assessments, and regulatory monitoring to prevent and detect fraud, waste, and abuse, specifically addressing the DRA, NY SSL § 363-d, and 18 NYCRR SubPart 521. Requires a high degree of accuracy, professional judgment, and accountability, as errors can result in significant regulatory or financial penalties or reputational risk.

ESSENTIAL FUNCTIONS

Analyzes billing data to identify potential risk areas related to professional and/or facility payment systems.
Performs audits of medical record documentation to ensure compliance with coding and billing requirements as defined by AMA, AHA, HCPCS, CMS and Medicaid guidelines.
Creates and provides reports on findings to relevant stakeholders.
Responds to reported compliance concerns by conducting formal investigative activities. Assesses and documents allegations of non-compliance in the department’s case management system. Plans and strategizes each investigation, collects and analyzes documents, data, electronic records, billing and clinical documentation, and other relevant materials. Conducts interviews with reporters, witnesses, and implicated individuals. Reviews facts in the context of applicable coding, billing, and regulatory requirements.
Performs root cause analysis when deficiencies are identified. Collaborates with relevant stakeholders to determine improvement opportunities to mitigate future risk. Collaborates with OIC leadership to determine corrective action such as formal self-disclosures or claim adjustments.
Develops and delivers comprehensive education and training sessions for faculty, residents, and staff, covering essential topics such as coding, compliance with Medicare, Medicaid, and third-party payer billing regulations, and fraud, waste, and abuse prevention.
Serves as a resource and subject matter expert for URMC and Affiliate personnel, offering guidance on billing, coding, and reimbursement matters.
Assists in due diligence activities related to physician practice and provider acquisitions as directed by OIC leadership and/or Office of Counsel.
Assists in assessing and responding to external audits and government investigations as directed.
Participates in special projects and investigations as directed by compliance leadership and/or Office of Counsel.
Maintains up-to-date knowledge of compliance risks by engaging in professional associations, networking with peers at other academic medical centers, reviewing relevant literature, and participating in industry seminars and educational events.

MINIMUM EDUCATION & EXPERIENCE

Bachelor or Associate’s degree in a related field preferred. Equivalent combination of education, professional certification(s), and substantial relevant experience will also be considered
Minimum of 3 years of healthcare coding experience required to include. APG, APC, and/or DRG coding methodologies or professional coding and billing in specialty areas.

KNOWLEDGE, SKILLS AND ABILITIES

Strong communication, interpersonal, and public speaking skills required.
Ability to efficiently produce clear, concise, and complete written audit reports required.
Excellent analytical, organizational, and problem-solving skills required.
Demonstrated objectivity and critical thinking in analyzing situations; must be able to evaluate facts without bias and avoid unsupported assumptions required.
Ability to manage projects and effectively advise staff in a motivational and positive manner required.
Willingness to collaborate with others and to work as part of a team required.
Ability to maintain high discretion and confidentiality with sensitive information required.
Experience creating, editing, and manipulating data and documents using Microsoft Office required.

LICENSES AND CERTIFICATIONS

One of the following credentials are required: Registered Health Information Technologist (RHIT), Registered Health Informational Administrator (RHIA), Certified Coding Specialist (CCS or CCS-P), Certified Professional Coder (CPC), or Certified Outpatient Coder (COC) or equivalent professional certification.
Certified in Healthcare Compliance (CHC) preferred

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

Apply Now

Refine Your Search

compliance auditor jobs in rochester, ny

Compliance Analyst II

Internal Auditor I

Information Systems Auditor 1,(SG-23) Item# 02936

Claims & Compliance Systems Specialist

Sr Quality & Compliance Spec

Lead Contract Compliance Analyst

Internal Audit Coordinator

Hotel Night Auditor

Healthcare Audit Senior Associate

QA Specialist RN Auditor

Senior Associate, Quality Engineering 1

Sr. Quality Program Manager, Customer Defect Tracking & Resolution

Sr Quality Engineer

Night Auditor

Senior Internal It Auditor

Sr Spec, Quality Engrg

HR Compliance Specialist, HR Operations

Hotel Night Auditor

Compliance Specialist - Fulltime - In Office

Front Desk Agent and Night Auditor

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