To ensure compliance with regulatory and organizational requirements, the full-time Certified Compliance Auditor will perform risk-based audits of clinical documentation, coding, and billing records, while working remotely and managing audit workloads independently.
Key responsibilities
Conduct risk-based audits of clinical documentation and billing records to validate compliance with regulations
Evaluate accuracy in coding, billing, and documentation practices, and identify compliance risks
Prepare audit reports summarizing findings and recommendations for compliance leadership and stakeholders
Required qualifications
Bachelor's Degree in Health Information Management, Healthcare Administration, or related field, or equivalent experience
3 years of progressive experience in coding or regulatory compliance auditing in a healthcare setting
Strong knowledge of federal and state laws, third-party payer regulations, and documentation requirements
Certified Professional Coder (CPC) or equivalent certification upon hire
Experience working in Epic or similar electronic health record systems