BCBSMS
Senior Clinical Compliance Auditor
Flowood, MS · Senior
Sponsorship not specifiedDetected 30 days ago
Data AnalysisExcelICD-10Patient CareCommunicationOrganizational SkillsMicrosoft Office
About the role
- The incumbent works with a multidisciplinary team to determine appropriate interventions to address and resolve identified issues.
- The incumbent prepares clear, detailed findings, reports, and recommendations for corrective action after thorough clinical analysis.
- Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer.
Requirements
- Bachelor's degree in Nursing is required
- Registered Nurse with an unrestricted license in the state of Mississippi is required
- Knowledge CPT, HCPCS, ICD-10 coding with applicable certifications is required
- Intermediate knowledge of Microsoft Office, to include experience in Excel, is required
- Excellent oral and written communication skills with the ability to communicate a clear understanding of results of review finding are required
- Ability to work with a high degree of accuracy and attention to detail is required
- Must have the ability to handle information of a confidential nature
Compensation
- We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation.
Benefits
- Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle.
- Strong knowledge of health care regulations related to reimbursement and coding is preferred.
- Our benefits program is among the best in the health care field.
Company info
- We are looking for employees who can bring their experience, expertise and dedication to work for our customers.
- At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere.
Equal opportunity
- All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
This listing is sourced directly from BCBSMS's careers page and normalized into a canonical job model.