Oct 19, 2026

Coding & Documentation Compliance Auditor

Job Description

Community First Health Plans seeks a Code and Documentation Compliance Specialist-CFHP to support the SIU. You will perform advanced coding audits, data collection, and statistical reporting to ensure regulatory compliance. The role includes investigations related to fraud and abuse and education for staff and physicians.

The ideal candidate has extensive ICD-10-CM/DRG experience, CPT4 coding, and strong knowledge of coding regulations, with strong proficiency in Microsoft Office.

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