Quality Compliance Professional
HumanaFull Time
Mid-level (3 to 4 years), Senior (5 to 8 years)
Candidates must possess an Associate's degree in Health Information Management or a Bachelor's degree, along with a required RHIA or RHIT credential. A minimum of 1-3 years of auditing experience is necessary, or 5 years of industry experience with 1-3 years of auditing. The ability to obtain RHIA or RHIT certification within 15 months of hire is mandatory. A successful background check, a valid driver's license, an acceptable driving record, and current auto insurance are also required.
The Compliance Audit Coordinator will coordinate the internal and external auditing and monitoring program, conducting comprehensive reviews of medical records and documentation to ensure compliance with Medicare guidelines and federal/state regulations. Responsibilities include developing audit tools, analyzing audit findings, recommending corrective actions, investigating billing and coding concerns, documenting investigations, reporting abnormal billing patterns, and coordinating post-audit compliance training.
Digitizes physical assets for legacy enterprises
BrightAI transforms traditional industries by digitizing physical assets and processes using technologies like the Internet of Things (IoT), Edge AI, cloud computing, and mobile technologies. The company primarily serves legacy enterprises, helping them modernize their operations to become more competitive in the global market. By quickly integrating its solutions, BrightAI drives immediate improvements in cash flow, creating a cycle of growth and profitability for its clients. The goal is to make digital transformation accessible and affordable for a wide range of businesses.