
Healthcare Compliance Auditor
Posted Jun 21

Posted Jun 21
This is a fully remote position, open to applicants in United States.
• Develop and execute audits of medical records to assess coding accuracy and ensure compliance in claims submissions.
• Analyze audit results to detect patterns or issues related to coding and documentation practices.
• Keep abreast of pertinent resources, publications, and the latest government compliance and enforcement initiatives.
• Bachelor’s degree (BS or BA) is mandatory.
• An active coding certification from AAPC (CPC, CPMA) or AHIMA (CCC-P, AOC) is essential.
• Minimum of 2 years of professional experience with an emphasis on healthcare provider billing and coding.
• Familiarity with coding for physician practices, Ambulatory Surgery Centers (ASC), and/or post-acute care settings.
• In-depth understanding of Medicare rules, regulations, and guidelines is required.
• Health insurance coverage.
• 401(k) matching program.
• Options for remote work.
• Opportunities for professional development.
EXL
BlueCross BlueShield of South Carolina
Pro Global
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