Senior Coding Compliance Auditor – Inpatient

This is a fully remote position, open to applicants in United States.

📋 Description

• Support the development and implementation of the Annual Compliance Workplan, which includes Auditing and Monitoring Workplans.

• Oversee and conduct thorough coding compliance audits, including intricate audits.

• Execute Management Action Plans and produce high-quality audit reports.

• Create and sustain an Audit the Auditor Quality program.

• Mentor and guide both new and current coding auditors.

• Evaluate audit findings to pinpoint discrepancies, trends, patterns, and possible non-compliance issues.

• Formulate actionable recommendations to reduce compliance risks.

• Collaborate with service line leaders to devise and validate Management Action Plans.

• Provide regular updates on audits and MAP to Compliance leadership while escalating urgent compliance issues.

• Develop and maintain training materials for the audit process, and offer training and ongoing support to auditors.

• Act as a point of contact for Coding leaders regarding compliance audit inquiries and concerns.

• Keep up-to-date with coding guidelines and industry standards.

• Create and sustain records of compliance audits, analytical reports, issue logs, and dashboards.

• Assist in onboarding compliance coding auditors and address their questions and concerns.

• Evaluate the compliance audit program and identify opportunities for process improvements.

• Foster collaborative relationships with both internal and external stakeholders.

• Help with auditor work assignments and follow up on deliverables.

• Contribute to the annual risk assessment and work plan preparation.

• Assess internal and operational controls related to regulatory requirements and corporate integrity and compliance.

• Engage in evaluations of compliance program effectiveness and other assigned projects.

⛳️ Requirements

• 5–7+ years of experience in healthcare, acute coding, Compliance, audits, or a related discipline.

• Proficient in ICD-10, DRG, CPT, and HCPCS coding, with experience in both acute outpatient and inpatient settings.

• Familiarity with revenue cycle operations, compliance standards, and auditing standards.

• Knowledge of Epic, Cerner, and/or Meditech systems.

• Basic proficiency in Word and Excel.

• Willingness and ability to travel long distances or by air, limited to 10% travel.

• Openness to innovation, including the use of AI.

• Candidates must be prepared to travel to and work onsite at client, temporary, or corporate office locations as business needs dictate.

• Must possess and maintain at least one of the following certifications: CPC, CCS, RHIA, or RHIT; CCS is preferred.

• CHC certification may be obtained at a designated time upon acceptance into the role.

• A Bachelor’s degree or equivalent experience in Health Records Management/Medical Coding is preferred.

• Must reside in and be authorized to work in the United States.

🏝️ Benefits

• Bonus incentives.

• Paid certifications.

• Tuition reimbursement.

• Comprehensive benefits package that includes healthcare, time off, retirement, and wellness programs.

• Professional certification relevant to the associate’s field.

• Quarterly and annual incentive programs.

• Opportunities for career advancement.

• Flexibility in work-life balance.

• Remote work arrangement.

• Opportunities for professional development.

• Reasonable accommodations for qualified individuals with disabilities.