1161 compliance auditor educator jobs found

Welcome! We’re excited you’re considering an opportunity with us! The Enterprise Compliance Auditor/Educator will assist with the implementation and facilitation of ongoing compliance auditing, monitoring, and educations associated with all provider services across WVUHS and its affiliates. The duties of this position will help ensure that all healthcare provider (MD/DO, APP, and other non-physician practitioners) organizations remains in compliance with all federal healthcare program rules, regulations, administrative requirements and guidance. Minimum Qualifications High School Diploma or Equivalent AND Seven (7) Years of experience in multi-specialty coding, E&M coding, procedural/surgical coding OR; Associate’s Degree AND Five (5) years experience in multi-specialty coding, E&M coding, procedural/surgical coding. Current certification in one of the following: Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC) Registered...

West Virginia University Health System (WVUHS) is seeking an Enterprise Compliance Auditor/Educator to support auditing, monitoring, and educational activities across WVUHS and its affiliates. The role ensures provider organizations stay compliant with CMS rules, regulations, and payor requirements. The position requires extensive experience in coding/audit environments, strong regulatory knowledge, and the ability to develop reports and training materials for diverse teams. #J-18808-Ljbffr

Experience Champaign Urbana is seeking a Compliance Auditor/Educator in Champaign, IL. This full-time role involves auditing quality compliance and providing education to healthcare providers. Applicants should possess a Certified Professional Coder (CPC) certification and have at least one year of experience in coding or auditing. A comprehensive benefits package and sign-on bonus are available. #J-18808-Ljbffr

Welcome! We’re excited you’re considering an opportunity with us! The Enterprise Compliance Auditor/Educator will assist with the implementation and facilitation of ongoing compliance auditing, monitoring, and educations associated with all provider services across WVUHS and its affiliates. The duties of this position will help ensure that all healthcare provider (MD/DO, APP, and other non-physician practitioners) organizations remains in compliance with all federal healthcare program rules, regulations, administrative requirements and guidance. Minimum Qualifications High School Diploma or Equivalent AND Seven (7) Years of experience in multi-specialty coding, E&M coding, procedural/surgical coding OR; Associate’s Degree AND Five (5) years experience in multi-specialty coding, E&M coding, procedural/surgical coding. Current certification in one of the following: Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC) Registered...

West Virginia University Health System (WVUHS) is seeking an Enterprise Compliance Auditor/Educator to support auditing, monitoring, and educational activities across WVUHS and its affiliates. The role ensures provider organizations stay compliant with CMS rules, regulations, and payor requirements. The position requires extensive experience in coding/audit environments, strong regulatory knowledge, and the ability to develop reports and training materials for diverse teams. #J-18808-Ljbffr

Enterprise Compliance Auditor/EducatorThe Enterprise Compliance Auditor/Educator will assist with the implementation and facilitation of ongoing compliance auditing, monitoring, and educations associated with all provider services across WVUHS and its affiliates. The duties of this position will help ensure that all healthcare provider organizations remains in compliance with all federal healthcare program rules, regulations, administrative requirements and guidance.Minimum Qualifications:Education, Certification, Experience, and/or Licensure:1. High School Diploma or Equivalent AND Seven (7) Years of experience in multi-specialty coding, E&M coding, procedural/surgical coding OR;Associate's Degree AND Five (5) years experience in multi-specialty coding, E&M coding, procedural/surgical coding.2. Current certification in one of the following:Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC)Registered Health Information Technician...

Compliance Auditor/Educator - Compliance Quality (CPC Required) Hot Job Clark St House (CMC) - Champaign, IL 61820 Overview Salary Range: $28.03 - $38.54 Hourly Position Type: Full Time Job Shift: 1st Shift Education Level: High School Category: Coding/Compliance General Summary of Duties Christie Clinic's department of Compliance Quality is seeking a full-time Compliance Auditor/Educator (Sign-On Bonus Available) at our Clark Street location in Champaign from Monday-Friday 8:00am-5:00pm, with no night or weekend requirements. Duties include performing ongoing functions related to quality of care and compliance including government and clinic regulations and policies in support of the Christie Clinic Compliance System. Job Qualifications and Expectations JOB DUTIES Screen, review, identify and document potential quality and compliance issues. Perform billing and coding audits with both random samples as well as provider and department specific samples; and as required....

POSITION DESCRIPTION :The Compliance Auditor / Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services.Provides professional expertise and education in CPT, ICD and HCC coding.The Compliance Auditor / Educator is responsible for professional development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA departments and offices for coding and documentation regulations.This role is also responsible for responding to compliance-related coding and documentation issues via the event reporting system and managing them to proper resolution.Performs medical record integrity audits and conducts one-on-one meetings with Providers for corrective educational guidance.ESSENTIAL JOB FUNCTIONS :Develops and leads audit projects for medical record integrity, service line or issues-related audits, identifies...

Riverside Healthcare in Illinois seeks a Professional Coding Compliance Specialist to audit ICD-10-CM and CPT/HCPCS codes across a multi-specialty group. You will provide education to providers and coders, maintain current coding guidelines, and support with newsletters and compliance initiatives. The role requires 3+ years of coding experience, CPC certification, and commitment to ongoing professional education. #J-18808-Ljbffr

Baylor Scott & White Health (BSWH) seeks a Provider Coding Compliance Consultant to support the Coding Compliance Manager and leadership in developing, implementing, and maintaining BSWH policies. The role ensures alignment with federal, state, and local laws and regulations, driving risk mitigation across the organization. The position emphasizes audits, education, reporting, and action plans, collaborating with BSWH departments and providers to strengthen coding compliance and overall #J-18808-Ljbffr

Compliance And Clinical Documentation SpecialistThis position plays a dual role in supporting the organization's compliance program and ensuring accurate clinical documentation and coding practices. This position is responsible for conducting audits, providing educational feedback to the providers from audited batches to ensure compliance with coding and billing requirements established by the payors, and supporting the development and implementation of compliance initiatives that align with federal and state regulations, payer requirements, and internal policies. This position keeps Supervisor and Manager informed of daily progress and issues related to hospital and professional coding and compliance issues. Responsible for obtaining information for billing staff to follow-up on outstanding claims or recording of charges.Minimum Education, Experience, Training, and Licensures Required:High School Diploma or GED requiredBachelor's degree preferredCertified Professional Coder – CPC...

Memorial Healthcare System is looking for an experienced inpatient/outpatient coding auditor to ensure ICD-10-CM/PCS, CPT, APC, MSDRG and APRDRG accuracy across hospital encounters. You will train staff, align with AHIMA guidelines, and contribute to departmental goals within the Revenue Cycle. Candidates should have a Health Information Management program background and AHIMA certifications (CCS, RHIA, RHIT). The role emphasizes compliance, education, and protecting patient confidentiality. #J-18808-Ljbffr

Compliance Auditor/EducatorThe Compliance Auditor/Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services. Provides professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor/Educator is responsible for professional development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA departments and offices for coding and documentation regulations. This role is also responsible for responding to compliance-related coding and documentation issues via the event reporting system and managing them to proper resolution. Performs medical record integrity audits and conducts one-on-one meetings with Providers for corrective educational guidance.Develops and leads audit projects for medical record integrity, service line or issues-related audits, identifies problems and uses...

Baylor Scott & White Health in Pierre, SD is seeking a Provider Coding Compliance Consultant to support the compliance program. The role reports to the Coding Compliance Manager and collaborates with the Compliance Vice President or Director to develop and maintain BSWH policies ensuring adherence to federal, state and local laws. Responsibilities include identifying audit projects, conducting audits of provider services, producing reports, and obtaining corrective action plans. #J-18808-Ljbffr

Baylor Scott & White Health (BSWH) is seeking a Provider Coding Compliance Consultant to develop, implement and maintain policies ensuring adherence to federal, state and local laws. The role reports to the Coding Compliance Manager or VP/Director and focuses on auditing, reporting, and corrective action processes. Ideal candidates have HIM credentials, coding certifications, and strong communication skills to educate providers and coordinate compliance initiatives across BSWH departments. #J-18808-Ljbffr

Trinity Health in Silver Spring, Maryland is seeking a Coding Auditor and Educator for a full-time remote role. The successful candidate will be responsible for ensuring accuracy in coding practices, conducting education for practitioners, and monitoring compliance with healthcare regulations. Qualified applicants should have a relevant certification and a minimum of 2-5 years of professional coding experience. The position offers flexibility in work schedules and a supportive work environment aimed at professional growth. #J-18808-Ljbffr

Favorite Healthcare Staffing Inc. is seeking an experienced Coding Specialist, Auditor, and Educator to join the Audit & Compliance team in Kansas City, MO. This permanent/direct-hire role focuses on accurate, compliant professional and physician coding across the organization. You will perform coding audits, identify risk areas and revenue opportunities, and educate physicians, APPs, and coding staff. The role requires collaboration with Compliance, Revenue Integrity, CDI, and provider #J-18808-Ljbffr

Job Requirements Job Summary Responsible for conducting independent physician coding and auditing reviews to ensure the accuracy, completeness, and compliance of medical record documentation supporting codes selected by providers and/or coders. This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and training initiatives. This position plays a key role in physician documentation improvement, coding compliance, audit readiness, and provider education across the organization. Hybrid Work Expectations To ensure collaboration, provider engagement, and training effectiveness, this position follows a hybrid work model with the following expectations: Onsite Expectations: Mandatory in-office presence at least 1 day per week (Wednesday). Additional in-office days may be required for: Training sessions Provider meetings...

Overview Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families...

Clinical Coding Auditor Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the...

Coding Auditor And Educator (Remote) Employment Type: Full-Time Shift: Days Position Highlights: Competitive pay Additional benefits: tuition reimbursement, free parking, employee discounts Quality of life: flexible work schedules Advancement: professional growth within the organization Location: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD. Description: Monday-Friday The Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Responsibilities: Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local...