1260 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 Health...

SYSTEM West Virginia University Health System is seeking an Enterprise Compliance Auditor/Educator to support audits, education, and monitoring across WVUHS and affiliates. The role focuses on CMS, state, and payor regulations to ensure compliant chart documentation, coding, and reimbursement. Responsibilities include developing audit reports, coordinating corrective actions, delivering training, and partnering with compliance leaders to educate staff and physicians. #J-18808-Ljbffr

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 EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: 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 Health...

West Virginia University Health System is seeking an Enterprise Compliance Auditor/Educator to support ongoing auditing, monitoring, and education across WVUHS and affiliates. The role ensures provider organizations meet CMS, state, and payer regulations, with emphasis on documentation, coding accuracy, and medical necessity. The incumbent will lead audits, prepare comprehensive reports, and deliver education programs for physicians, APPs, and staff. #J-18808-Ljbffr

Coding Compliance Auditor/EducatorTitle: Coding Compliance Auditor/Educator Location: Fountain Valley/Predominantly Remote (Must reside in CA) Department: Document Improvement Status: Per Diem Shift: Day Pay Range*: $50.00/hrMemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve...

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 EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: 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 Health...

West Virginia University Health System is seeking an Enterprise Compliance Auditor/Educator to support ongoing auditing, monitoring, and education across WVUHS and affiliates. The role ensures provider organizations meet CMS, state, and payer regulations, with emphasis on documentation, coding accuracy, and medical necessity. The incumbent will lead audits, prepare comprehensive reports, and deliver education programs for physicians, APPs, and staff. #J-18808-Ljbffr

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

Welcome! We’re excited you’re considering an opportunity with us! Below, you’ll find other important information about this position. 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 EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: 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...

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 (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: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...

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...

Trinity Health IHA Medical Group is seeking a Compliance Coding Auditor-Educator to serve as a subject matter expert for CPT, ICD and HCC coding procedures. The role involves leading audits, reporting results, and educating providers and staff on compliant coding standards. The position requires a Bachelor's degree or equivalent, CPC or RHIT, and at least 2 years in coding, reimbursement analysis, or medical record auditing. #J-18808-Ljbffr

Work ShiftDay (United States of America) How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: Under the direction of the Coding Compliance Manager, conducts independent audits of professional fee coding. Assures appropriate and accurate coding assignments in accordance with federal coding regulations and guidelines. Prepares written reports of findings and leads meetings with providers to review the audit findings and recommend ways to improve when indicated. Also responsible for providing assistance with coding inquiries from providers, coding, staff,...

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...

Trinity Health Medical Group in Michigan is seeking a Compliance Auditor/Educator to serve as a subject matter expert for CPT, ICD and HCC coding, providing education across IHA offices. The role leads audit projects, reviews medical records for integrity, develops corrective actions, and trains providers and staff to ensure compliance with federal and payer requirements. Travel to offices is required. #J-18808-Ljbffr

Position Description The Compliance Auditor/Educator serves as the subject matter expert and as a point of contact for IHA offices and the Revenue Department for proper coding procedures and workflow for existing medical services. The role provides professional expertise and education in CPT, ICD and HCC coding, and is responsible for the professional development of educational materials, clinical case studies, guidelines and job aids to guide coding and documentation regulations across IHA departments and offices. Additionally, the Compliance Auditor/Educator responds to compliance‑related coding and documentation issues via the event reporting system, managing them to proper resolution. The position also performs medical record integrity audits and conducts one‑on‑one meetings with providers for corrective educational guidance. Employment Type Full time Shift Day Shift Essential Job Functions Develops and leads audit projects for medical record integrity, service line or...

Yale Cancer Center is seeking a Compliance Specialist III to support compliance programs and conduct audits. This full-time position requires a Bachelor's degree and 5 years of relevant experience. The role involves collaboration with stakeholders and the training of compliance procedures. The ideal candidate has strong knowledge in healthcare billing and is a Certified Professional Coder (CPC). The position offers a remote work model based in New Haven, Connecticut. #J-18808-Ljbffr

University Health is seeking a Corporate Professional Coding Auditor and Educator to ensure accurate, compliant professional coding across the organization. The role conducts audits and identifies risk and revenue opportunities while educating physicians and coding staff to support compliant documentation and reimbursement. The position partners with Compliance, Revenue Integrity, CDI and Provider Leadership to mitigate audit risk and promote best practices in professional fee coding. #J-18808-Ljbffr

Location: Ann Arbor, Michigan, United StatesCompany: Trinity HealthPosted: 2026-09-10Compliance Coding Auditor-EducatorTrinity Health IHA Medical Group is looking for a customer-focused Compliance Coding Auditor-Educator to join our team. In this role, you will serve 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.What You'll Do:Develops and leads audit projects for medical record integrity.Reports audit results utilizing a standard reporting process.Identifies new errors while performing audits, investigates and assesses root cause.Performs one-on-one Audit meetings and provides for corrective educational guidance.Maintains complete knowledge and complies with all relevant insurance, CPT coding and diagnosis guidelinesProvides training for IHA staff and providers on CPT, ICD10 and HCC coding...

Corporate Professional Coding Auditor and Educator - Audit and Compliance - University Health SOME FLEXIBILITY ON REMOTE WORK OPTION; 5 days per week; 8:00a-4:30p; Mon-Fri 101 Truman Medical Center Job Location Crown Center Kansas City, Missouri Department Audit and Compliance Position Type Full time Work Schedule 8:00AM - 4:30PM Hours Per Week 40 The Corporate Professional Coding Auditor and Educator is responsible for ensuring accurate, compliant, and optimized professional (physician) coding across the organization. This role performs proactive and reactive coding audits, identifies risk and revenue opportunities, and provides targeted education to physicians, APPs, and coding staff to support regulatory compliance, documentation integrity, and appropriate reimbursement. This position partners closely with Compliance, Revenue Integrity, CDI, and Provider Leadership to mitigate audit risk, improve documentation quality, and promote best practices in professional fee coding....

Compliance Coding Auditor-EducatorTrinity Health IHA Medical Group is looking for a customer-focused Compliance Coding Auditor-Educator to join our team. In this role, you will serve 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.What You'll Do:Develops and leads audit projects for medical record integrity.Reports audit results utilizing a standard reporting process.Identifies new errors while performing audits, investigates and assesses root cause.Performs one-on-one Audit meetings and provides for corrective educational guidance.Maintains complete knowledge and complies with all relevant insurance, CPT coding and diagnosis guidelinesProvides training for IHA staff and providers on CPT, ICD10 and HCC coding standards and procedures.General Requirements:EDUCATION: Bachelor's degree or...

Auditing Team LeadUnder direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assists Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists.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.1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and scheduling. Manages time and attendance approvals.a....

TEKsystems seeks a Medical Coding Auditor in Baltimore, hybrid (1-2 days in office weekly). The role focuses on independent physician coding reviews, CMS/CPT/ICD-10 compliance, and training to improve documentation accuracy. Responsibilities include auditing, reporting findings, and developing education programs for providers, with a compensation range typically aligned to the posted salary and located in Baltimore, MD. #J-18808-Ljbffr