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2 senior compliance coding auditor jobs found

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senior compliance coding auditor Remote
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Uo
Full Time
 
UMH Sparrow Health System -SENIOR COMPLIANCE AUDITOR (Remote in Michigan)
U of M Health Sparrow Health System Remote (Lansing, MI, USA)
Job Description General Purpose of Job :   Ensure Revenue Cycle Coding and Billing are compliant with State and Federal regulations.  Respond to and Investigate compliance issues within Revenue Cycle.   Lead and/or coordinate audit activity with governmental audits.   Essential Duties : This job description is intended to cover the minimum essential duties assigned on a regular basis.  Team members may be asked to perform additional duties as assigned by their leader.  Leadership has the right to alter or modify the duties of the position. Ensures conformance with applicable laws, regulations and Medicare/Medicaid reimbursement rules to ensure UMHS is in compliance with federal, state and/or local regulations. Monitors, analyzes and reports on laws, regulations, audits and industry standards that impact the organization. Develops and maintains Professional and Hospital billing issues on the Revenue Cycle Compliance Work Plan. Reviews the OIG Work Plan,...

Feb 09, 2026
Norwood
Full Time Contract
 
Primary Care Physician Office Coder
Norwood Remote
Specialty / Procedures: Primary Care coding and charge review (Preventive, Chronic, Acute Visits; E/M, Time-Based, Preventive Care) Specialty Program(s): Coding & Charge Review, Risk Code Validation (non-HCC), Front-End & Pre-Billing Review Engagement Type (FT / PT / Contract): Full-Time Work Arrangement (Remote / Travel / On-site): Remote Length of Assignment:  Ongoing / Long-Term Credentials & Requirements Required Credentials / Licensure: Certified Professional Coder (CPC) or equivalent AAPC credential (required) Additional Requirements or Notes: Minimum 2 years of professional coding experience in Primary Care, Family Medicine, or Internal Medicine Strong knowledge of CPT, HCPCS, ICD-10-CM, E/M coding Experience with risk-related diagnosis validation (non-HCC) Knowledge of payer rules, modifier usage, medical necessity, and clean-claim standards Ability to maintain...

Jan 22, 2026
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