Oregon Licensed Compliance Auditor

Job Summary

To support compliance initiatives, the full-time Oregon Licensed Compliance Auditor will conduct auditing and monitoring activities related to operational processes and internal controls, including coding audits and compliance assessments, while working remotely during Pacific Standard business hours.

Key responsibilities

• Perform ongoing audits of medical record and billing documentation for compliance with legal and regulatory standards
• Develop and implement corrective action plans, including training materials and policy revisions
• Support the compliance risk assessment process by informing the annual workplan scope and risk areas

Required qualifications

• 3 years of experience in ambulatory coding and healthcare compliance auditing
• Bachelor's Degree or equivalent education and work experience
• Current knowledge of CPT, ICD-10-CM, and HCPCS coding standards
• Certification as a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) is required
• Familiarity with federal and state healthcare compliance laws, including HIPAA and the Stark Law