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Coding Compliance Auditor Jobs in Tennessee (NOW HIRING)

Covenant Health

COMPLIANCE AUDITOR

Knoxville, TN · On-site +1

Overview Compliance Auditor Full Time, 80 Per Hour Pay Period, Day Shift This position is Remote ... Performs research and analysis of charges, CPT coding, modifiers and billing processes to ensure ...

Covenant Health

COMPLIANCE AUDITOR

Knoxville, TN · Remote

Compliance Auditor Full Time, 80 Per Hour Pay Period, Day Shift This position is Remote. Covenant ... Performs research and analysis of charges, CPT coding, modifiers and billing processes to ensure ...

Covenant Health

COMPLIANCE AUDITOR SR

Knoxville, TN · On-site

Overview Compliance Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health ... Performs research and analysis of charges, CPT coding, modifiers, etc. through internal billing ...

Covenant Health

COMPLIANCE AUDITOR SR

Knoxville, TN · On-site

Compliance Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview ... Performs research and analysis of charges, CPT coding, modifiers, etc. through internal billing ...

Parallon

Inpatient Coding Auditor

Nashville, TN · On-site

As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted ... to ensure compliance with national coding guidelines, the HSC coding policies and the Company ...

Parallon

Inpatient Coding Auditor

Murfreesboro, TN · On-site

As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted ... to ensure compliance with national coding guidelines, the HSC coding policies and the Company ...

Parallon

Inpatient Coding Auditor

Lebanon, TN · On-site

As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted ... to ensure compliance with national coding guidelines, the HSC coding policies and the Company ...

Parallon

Inpatient Coding Auditor

Franklin, TN · On-site

As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted ... to ensure compliance with national coding guidelines, the HSC coding policies and the Company ...

Ardent Health

Hospital Coding Auditor

Brentwood, TN · Remote

$25.75 - $29.25/hr

The Hospital Auditor is responsible for reviewing hospital (inpatient and outpatient) to ensure accuracy, completeness, and compliance with regulatory guidelines and coding standards. This role ...

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All JobsCoding Compliance Auditor JobsCoding Compliance Auditor Jobs in Tennessee

Coding Compliance Auditor information

See Tennessee salary details

$28.6K

$62.4K

$101.7K

How much do coding compliance auditor jobs pay per year?

As of Aug 21, 2026, the average yearly pay for coding compliance auditor in Tennessee is $62,382.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,500.00 and $78,500.00 per year, depending on experience, location, and employer.

What is a coding compliance auditor?

Coding Compliance Auditors are healthcare professionals responsible for reviewing medical records and billing data to ensure that coding for diagnoses, procedures, and services complies with regulatory requirements and organizational policies. They help healthcare facilities avoid errors, reduce fraudulent practices, and optimize reimbursement by ensuring accurate documentation and coding. Their work involves analyzing patient records, providing feedback to medical coders, and recommending improvements to coding practices.

What skills and qualifications are needed to be a coding compliance auditor?

To thrive as a Coding Compliance Auditor, you need an in-depth understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and coding audit methodologies, often backed by a degree in health information management and certifications like CPC or CCS. Proficiency with electronic health record (EHR) systems, coding audit software, and data analysis tools is essential. Exceptional attention to detail, analytical thinking, and strong communication skills set top performers apart in this role. These competencies ensure accurate coding, minimize compliance risks, and help healthcare organizations maintain financial integrity and regulatory adherence.

What are common challenges faced by coding compliance auditors, and how can they be addressed?

Coding Compliance Auditors often encounter challenges such as staying current with frequent changes in coding guidelines (e.g., ICD-10, CPT), managing large volumes of medical records, and ensuring accuracy while meeting productivity targets. Effective communication with healthcare providers is crucial, as auditors often need to clarify documentation or educate staff on compliance issues. These challenges can be addressed by participating in ongoing training, using advanced audit software, and fostering a collaborative environment with clinical and billing teams.

What is the difference between Coding Compliance Auditor vs Medical Coder?

AspectCoding Compliance AuditorMedical Coder
CertificationsAHIMA or AAPC certifications, compliance trainingCertified Professional Coder (CPC), CPC-H, or similar
Work EnvironmentHealthcare facilities, auditing departments, compliance teamsHospitals, clinics, physician offices, outpatient facilities
Primary FocusEnsuring coding accuracy and compliance with regulationsAssigning accurate medical codes for billing and documentation
Industry UsageUsed in healthcare compliance and auditing rolesUsed in medical billing and coding roles

While both roles involve medical coding, a Coding Compliance Auditor primarily reviews coding practices for compliance and accuracy, often working in auditing and regulatory environments. A Medical Coder focuses on assigning correct codes for billing purposes. The auditor ensures adherence to standards, whereas the coder executes the coding process.

What are popular job titles related to Coding Compliance Auditor jobs in Tennessee?

For Coding Compliance Auditor jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Coding Compliance Auditor jobs in Tennessee look for?

The top searched job categories for Coding Compliance Auditor jobs in Tennessee are:

Coding Compliance Auditor jobs near you
Infographic showing various Coding Compliance Auditor job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 9% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $62,382 per year, or $30 per hour.

Compliance Auditor

Mental Health Cooperative

Nashville, TN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Ranked one of Tennessee's top places to work, MHC is a rare and special place where outstanding company culture is intentional. Where clients and associates are treated the same, as equals.
Mental Health Cooperative, Inc. (MHC) was formed in 1993 to serve individuals with severe and persistent mental illness. Since then, we have expanded our services to children and adolescents with severe emotional disorders across Middle and East Tennessee.
Our sole purpose is to support and treat those challenged with serious mental illness and poverty. Although based out of Nashville, we serve several communities across middle and East Tennessee with satellite offices in Antioch, Gallatin, Dickson, Columbia, Cleveland, Murfreesboro, Clarksville, Cookeville, Chattanooga, and Memphis.
If you are interested in joining a team that is caring, collaborative, innovative and energizing this might be a great place for you!
Job Title: Compliance Auditor
Department: Compliance
Reports To: Director of Compliance, VP of Compliance
Location: On-site
FLSA Status: Exempt
Purpose:
The Compliance Auditor is responsible for conducting compliance auditing, monitoring, and risk assessment activities to ensure organizational adherence to federal, state, accreditation, contractual, and organizational requirements. This position evaluates clinical, billing, operational, and administrative functions to ensure compliance with regulations and standards established by the Office of Inspector General (OIG), Centers for Medicare & Medicaid Services (CMS), The Joint Commission (TJC), Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS), Managed Care Organizations (MCOs), and other applicable regulatory authorities.
Position Summary:
The Compliance Auditor identifies areas of regulatory risk, recommends corrective actions, evaluates the effectiveness of compliance controls, and supports continuous improvement efforts throughout the organization.
Essential Duties and Responsibilities
Compliance Auditing and Monitoring
  • Conduct routine and focused audits of clinical documentation, medical records, billing, coding, claims submission, service authorization, and operational processes.
  • Perform audits to ensure compliance with CMS, Medicaid, TennCare, TDMHSAS, TJC, OIG, and MCO requirements.
  • Evaluate documentation for medical necessity, treatment planning, service delivery, timeliness, and completeness.
  • Review provider credentialing and licensure compliance.
  • Assess adherence to organizational policies and procedures.
  • Develop audit work plans, audit tools, and monitoring methodologies.
  • Maintain audit schedules and ensure completion of annual compliance audit plans.

Risk Assessment and Analysis
  • Identify regulatory, operational, financial, and compliance risks across the organization.
  • Analyze audit findings to identify trends, root causes, and systemic issues.
  • Assist with annual compliance risk assessments.
  • Evaluate internal controls and compliance processes for effectiveness.
  • Recommend risk mitigation strategies and process improvements.

Corrective Action and Follow-Up
  • Prepare written audit reports detailing findings, observations, risks, and recommendations.
  • Collaborate with department leaders to develop corrective action plans.
  • Monitor implementation of corrective actions and validate effectiveness.
  • Conduct follow-up audits to ensure sustained compliance.
  • Track audit findings and compliance metrics.

Regulatory and Contractual Compliance
  • Monitor changes in federal and state healthcare regulations affecting behavioral health services.
  • Ensure compliance with:
    • OIG Compliance Program Guidance
    • CMS Medicaid and Medicare regulations
    • TJC accreditation standards
    • TDMHSAS licensing and contractual requirements
    • TennCare regulations
    • Managed Care Organization (MCO) contracts and policies
    • HIPAA Privacy and Security Rules
    • Fraud, Waste, and Abuse regulations

Survey and Audit Readiness
  • Assist departments in preparing for regulatory reviews, accreditation surveys, external audits, and site visits.
  • Participate in mock surveys and readiness assessments.
  • Review evidence and documentation requested by surveyors and auditors.
  • Support remediation activities resulting from external audits.

Reporting and Documentation
  • Maintain complete and accurate audit documentation and work papers.
  • Prepare reports for the Compliance Committee, Executive Leadership Team, and Board of Directors.
  • Track key audit indicators and organizational compliance trends.
  • Utilize compliance management software, spreadsheets, and reporting tools to monitor audit outcomes.

Education and Consultation
  • Provide guidance to operational and clinical staff regarding compliance requirements.
  • Educate departments on audit findings and regulatory expectations.
  • Assist with compliance training and awareness initiatives.
  • Serve as a compliance resource for managers and leadership.

Required Qualifications
Education
  • Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Nursing, Social Work, Behavioral Health, Accounting, or related field required.
  • Master's degree preferred.

Experience
  • Minimum of three (3) years of healthcare auditing, compliance, quality improvement, revenue cycle, or regulatory experience required.
  • Experience in behavioral health, community mental health, substance use treatment, or healthcare settings strongly preferred.
  • Experience auditing Medicaid-funded services preferred.

Preferred Certifications
One or more of the following certifications preferred:
  • Certified in Healthcare Compliance (CHC)
  • Certified Professional Medical Auditor (CPMA)
  • Certified Internal Auditor (CIA)
  • Certified Professional Coder (CPC)
  • Certified Healthcare Internal Audit Professional (CHIAP)

Knowledge, Skills, and Abilities
Regulatory Knowledge
  • Extensive knowledge of:
    • OIG Compliance Program Guidance
    • CMS regulations
    • Medicaid and TennCare requirements
    • TJC accreditation standards
    • TDMHSAS rules and regulations
    • MCO contractual requirements
    • HIPAA Privacy and Security Rules
    • Fraud, Waste, and Abuse prevention practices

Technical Skills
  • Medical record review and auditing
  • Data analysis and trend identification
  • Audit report writing
  • Risk assessment methodologies
  • Root cause analysis
  • Corrective action plan development
  • Proficiency with EHR systems and Microsoft Office applications

Professional Skills
  • Strong analytical and critical thinking abilities
  • Excellent verbal and written communication skills
  • High attention to detail
  • Ability to maintain confidentiality
  • Strong organizational and time-management skills
  • Ability to work independently and collaboratively

Work Environment
  • Primarily office environment.
  • Ability to travel between organizational sites as needed.
  • Ability to sit for extended periods while reviewing records and data.
  • Ability to access and review electronic health records and paper documentation.
  • Will require participation in regulatory surveys, audits, accreditation reviews, and compliance investigations.
  • Must maintain confidentiality and handle sensitive information appropriately.

BENEFITS: Mental Health Cooperative offers a full comprehensive benefit plan for you to participate in. The following products are available:
  • Medical Insurance/Prescription Drug Coverage
  • Health Savings Account
  • Dental & Vision Insurance
  • Basic Life and AD&D Insurance
  • Short- & Long-Term Disability
  • Supplemental Life Insurance
  • Cancer Insurance
  • Accident & Critical Illness Insurance
  • 403b - Retirement Plan
  • Calm App for medication and mental health
  • Gym membership discounts
  • Pet Insurance
  • Paid Time Off

Mental Health Cooperative embraces inclusion, diversity and equal opportunity. We're committed to building a team that represents a variety of backgrounds, perspectives, and skills. Mental Health Cooperative is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

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