Certified Coding Compliance Auditor

Job Summary

Working remotely in a full-time capacity, the Certified Coding Compliance Auditor will perform documentation and coding compliance reviews, support investigations and education, and ensure adherence to coding and billing regulations within healthcare services.

Key Responsibilities

• Plan, perform, and document internal documentation and coding compliance reviews, preparing detailed reports on findings
• Support external compliance reviews by analyzing findings and assisting with organizational responses and corrective actions
• Participate in compliance risk assessments and contribute to the development and execution of the Annual Compliance Work Plan

Required Qualifications

• Associate degree or completion of at least two years of college coursework in a related field; equivalent experience will be considered
• 3+ years of physician/professional-fee coding experience
• 2+ years of physician/professional-fee auditing experience
• Current AAPC or AHIMA coding certification such as CPC, CCS-P, CCS, or a comparable credential
• Proficiency in CPT and ICD-10-CM coding