Certified Physician Compliance Auditor

Job Summary

A company is looking for a Physician Compliance Auditor II.

Key Responsibilities

• Conducts audits and evaluates compliance activities to ensure documentation meets standards
• Implements coding reviews and develops educational curriculum for providers and staff
• Prepares compliance reports and assists in developing coding compliance policies and procedures

Required Qualifications

• Bachelor's degree or 4 years of relevant work experience
• 4 years of auditing experience focused on Pro-Fee services, CPT, and ICD-10-CM
• Active coding certification: CPC or CCS-P
• Experience in coding across multiple service lines including E/M, surgical, and diagnostic procedures
• Knowledge of Federal, State, and private payer compliance regulations