requirements for compliance officer
there is a compliance officer position at my place of employment. i can forward you the link so that you can look at the requirements...i think your going to need a few more years and education under your belt to eventually become a compliance officer... see below
DESCRIPTION:
Under the supervision of the Director of Internal Audit, the Compliance Auditor - Coding and Billing will conduct coding, documentation, and billing audits to ensure compliance with State and Federal coding standards in accordance with the annual audit work plan, along with education of clinical staff in proper documentation and coding. The Compliance Auditor - Coding and Billing will work closely with the Case Management Department, Billing Supervisors, and Revenue Recovery Specialist to review trends in third party denials. Responsibilities include, performing all assigned audit fieldwork and coding training, including creating and organizing all related audit workpapers, audit results, and performing follow-up activities. Capable of working on assignments of moderate difficulty and complexity, while exercising a reasonable amount of independent judgment. Strong commitment to objectivity and maintaining the integrity and effectiveness of the Compliance Department.
REQUIREMENTS:
3 or more years coding experience with physician medical records in healthcare environment required. Prior audit experience a plus. Bachelor's degree in Health Science related field or equivalent required. Certified Professional Coder (CPC) required. CCS, CPC-H, and CPMA, preferred. Possess an excellent knowledge of applicable State and Federal regulations governing physician reimbursement. A working knowledge of medical terminology, patient care services, and medical record chart documentation is required. A working knowledge of patient diagnoses, procedures, along with the corresponding billing coding and documentation standards are also required. Maintains and applies excellent analytical, communication and organizational skills. Strong oral and written communication skills; a detailed oriented individual is required. Analytical skills necessary to translate clinical information contained in medical records into appropriately coded data. Proficiency skills in Microsoft Office products and familiarity with Electronic Health Records are essential.
this is for a major hospital network in the urban philly area... hope that helps