1128 compliance auditor educator jobs found

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...

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

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

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

Job Title 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: Mandatory in-office presence at least 1 day per week (Wednesday). Additional in-office days may be required for: Training sessions Provider meetings Department meetings Some weeks may require 2 days onsite...

Saint Francis Health System is seeking a Coding Auditor in Oklahoma to perform coding audits, ensuring CPT and ICD-10 accuracy and compliance with internal standards. The role develops clinic-wide education on coding and billing and serves as a resource to physicians, staff, management and patients. The position requires CCS/CPC/RHIT/RHIA certification, a minimum of 3 years auditing experience with 1 year coding, and strong EHR/coding-software skills. Bachelor's in Healthcare Admin preferred. #J-18808-Ljbffr

If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site. Please log into myWORKDAY to search for positions and apply. Job details Compliance & Coding Audit Specialist – Audit and Compliance – University Health. Some flexibility on remote work option; 5 days per week; 8:00 a.m. – 4:30 p.m.; Mon–Fri. Location: Crown Center, Kansas City, Missouri. Department: Audit and Compliance. Position Type: Full time. Hours Per Week: 40. Overview Help safeguard accuracy, integrity, and regulatory compliance across our organization. We are seeking a skilled Compliance & Coding Audit Specialist to support the Corporate Compliance Program through detailed auditing, monitoring, and provider education related to coding, billing, and clinical documentation practices. Responsibilities Conduct ongoing coding, billing, and documentation audits to ensure compliance with hospital policies and federal...

CommonSpirit Health seeks a Revenue Cycle Auditor-Educator Coding to leverage expert ICD-10/CPT-4 knowledge across the organization, ensuring coding accuracy and compliance that drive revenue cycle integrity. Responsibilities include onboarding training for staff, conducting DRG validation audits, and developing system-wide CDI education programs with leadership. Strong collaboration with CDI, quality, and patient financial services is essential. #J-18808-Ljbffr

Profee Physician/Coding Auditor and Educator Compensation Hourly Rate: $28 – $45 per hour Location: Remote Position Summary As a Profee Physician/Coding Auditor and Educator, you will support healthcare organizations by auditing professional fee coding across multiple specialties while also providing education to physicians and coding teams. This role is critical in ensuring compliance, improving documentation accuracy, and supporting revenue cycle performance. You will work in complex healthcare environments, including large health systems and academic settings, while contributing to quality improvement initiatives. At RCM Healthcare Services, we are committed to supporting experienced professionals in impactful roles. Responsibilities Audit multi-specialty professional fee charts for accuracy, compliance, and quality Provide education and feedback to physicians and coding staff to improve documentation and coding accuracy Analyze coding trends, denials, and audit...

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...

Physician Practice E&M Auditor Educator Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 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 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 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...

Providing high-level technical expertise, the full-time remote Certified Coding Auditor and Educator will conduct comprehensive audits, analyze coding patterns, and develop targeted education programs to ensure compliance and improve documentation quality within professional services. Key responsibilities: Conduct comprehensive audits of professional coders and providers to ensure accuracy and compliance with coding guidelines Analyze documentation and coding patterns to identify compliance risks and provide actionable feedback Develop and deliver training programs based on audit findings and regulatory updates Required qualifications: Associate degree in Health Information Management or a related field, or equivalent education and experience Comprehensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines Three to five years of professional coding or auditing experience Required certifications: RHIT, RHIA, CCS, or CPC

Medical Coder Educator Serves as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. Analyze and report review findings indicating documentation gaps reimbursement and data internation, inpatient, outpatient and professional service coded. Report to compliance focused areas of improvements, recommendations and actions taken to improve medical staff knowledge and coding accuracy. Conduct individual and group coding and documentation support instructions as assigned and acts as an internal coding expert resource. Qualifications Required: High School Diploma or GED...

Phoenix Children's in Phoenix, AZ is seeking a Coding Auditor and Educator under the supervision of the Manager of Professional Services. The role provides oversight on education and audits of medical records for compliance with federal coding regulations and guidelines (CPT, ICD-10, EM) to align with government and hospital billing requirements. You will audit ambulatory medical records, educate coders and providers to improve accuracy and compliance, maintain policy documents, and collaborate #J-18808-Ljbffr

Audit Integrity - Medical Coding Auditor Mountain View Hospital is looking for a Medical Coding Auditor to join our team! Medical Record Auditor will be responsible for assisting/conducting audits of medical records, coding and billing information. The auditor will look at both departments inside the hospital, outside departments and physician records and billing. Auditors will put together informational reports of finding and relay the information to the appropriate source. Reporting will be generated to help track which providers, locations or target areas need to be audited. The medical auditor will assist in putting together appeals/rebuttals for external auditing sources. Auditor should have audits completed within a timely manner that is set up with the supervisor/manager. Auditor will be provided as education as directed by the Auditing Integrity Department manager. Works collaboratively with the unit-specific educators, department manager, department supervisor, the...

Overview Job Title: Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Day Shift Responsibilities Monitors accuracy of centralized coders’ charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. Partners with leadership to improve HCC, high risk scoring, with provider and coder education. Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. Responsible for practitioner education in areas related to coding, documentation, and compliance. Works closely with leadership and the department to establish and modify the charge description master (CDM) methodology and pricing models to ensure accuracy and regulatory compliance. Reports to the Manager, Provider Revenue Operations. What You Will Need High school diploma or equivalent combination of education and experience Certified Professional Coder or...

A healthcare organization in Lynchburg, Virginia, is seeking an experienced Auditor/Educator for Inpatient Coding. This role involves conducting internal coding audits, coordinating staff education, and ensuring compliance with coding guidelines. The ideal candidate will have at least five years of inpatient coding experience and strong knowledge of ICD-10 coding. Responsibilities include monitoring coder progress and developing training programs, while also being a resource for the coding staff. Competitive benefits are offered. #J-18808-Ljbffr

Professional Fee Coding Auditor & Educator We are seeking an experienced Professional Fee Coding Auditor & Educator to partner with physicians and APPs on coding accuracy, documentation improvement, compliance, and provider education. Must currently possess both the CPC and CPMA certifications in order to be considered for the role. The Coding Auditor and Educator role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or...

Inpatient Coding Auditor & Educator Our client is seeking an experienced Inpatient Coding Auditor & Educator to support coding quality, compliance, and education within an acute care hospital environment. This role focuses on auditing inpatient facility coding, identifying opportunities for improvement, and developing educational resources to enhance coding accuracy and regulatory compliance. Requirements 5+ years of coding/auditing experience, including hands-on coding experience. 3+ years of inpatient facility auditing in an acute care hospital. Experience with Level I Trauma Centers and multi-specialty inpatient coding. Strong background auditing hospital/facility coding (not professional/physician coding). Experience creating coder education and training materials. Advanced Excel and PowerPoint skills. One or more certifications required: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC, or another AAPC/AHIMA credential. Responsibilities...

American Physiatry is seeking an experienced Certified Medical Coding Auditor & Provider Educator to strengthen clinical documentation accuracy and compliance. This remote, full-time role focuses on coding audits, provider education, and addressing compliance risks in post-acute care settings. Ideal candidates have strong E/M coding expertise, Medicare Part B billing experience, and a background in SNF/long-term care coding. #J-18808-Ljbffr