Certified Compliance Auditor

Job Summary

To ensure compliance with regulatory and organizational requirements, the full-time Certified Compliance Auditor will perform risk-based audits of clinical documentation, coding, and billing records, while working remotely and managing audit workloads independently.

Key responsibilities

• Conduct risk-based audits of clinical documentation and billing records to validate compliance with regulations
• Evaluate accuracy in coding, billing, and documentation practices, and identify compliance risks
• Prepare audit reports summarizing findings and recommendations for compliance leadership and stakeholders

Required qualifications

• Bachelor's Degree in Health Information Management, Healthcare Administration, or related field, or equivalent experience
• 3 years of progressive experience in coding or regulatory compliance auditing in a healthcare setting
• Strong knowledge of federal and state laws, third-party payer regulations, and documentation requirements
• Certified Professional Coder (CPC) or equivalent certification upon hire
• Experience working in Epic or similar electronic health record systems