Senior Coding Compliance Auditor – Outpatient

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

📋 Description

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

• Lead and execute in-depth Coding compliance audits, encompassing complex audits.

• Execute Management Action Plans effectively.

• Produce high-quality audit reports.

• Develop and sustain an Audit the Auditor Quality program.

• Provide coaching and mentorship to both new and existing Coding auditors.

• Engage in various activities related to the compliance program.

• Examine audit findings to pinpoint discrepancies, trends, and patterns that may indicate potential non-compliance.

• Establish and uphold an Audit the Auditor program that monitors quality and identifies areas for improvement related to audit management tools and processes.

• Deliver regular updates to the Compliance leader regarding audits, MAP outcomes, and escalate any compliance concerns that need immediate attention.

• Create and update training materials for the audit process and the use of the Audit Management tool/platform.

• Relay coding compliance issues to Compliance leadership by identifying trends and patterns.

• Stay informed about coding guidelines and industry standards for coding practices.

⛳️ Requirements

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

• Knowledge of ICD-10, DRG, CPT & HCPCs coding, including Acute Outpatient and Inpatient experience.

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

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

• Basic proficiency in Word & Excel.

• Willingness to travel long distances or by air, not to exceed 10% travel.

• Must possess a curious mindset and demonstrate openness to innovation, including AI, to explore improved processes and enhance patient and client experiences.

• Required Certifications: CHC (Certified in Healthcare Compliance).

• Candidates must maintain at least one current professional certification from the following (CCS preferred): CPC (Certified Professional Coder), CCS (Certified Coding Specialist), RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician).

🏝️ Benefits

• Bonus Incentives.

• Paid Certifications.

• Tuition Reimbursement.

• Comprehensive Benefits.

• Career Advancement.