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Compliance & Coding Audit Specialist

Help safeguard accuracy, integrity, and regulatory compliance across our organization. We are seeking a skilled Compliance & Coding Audit Specialist to support the Corporate Compliance Program through detailed auditing, monitoring, and provider education related to coding, billing, and clinical documentation practices.

What You'll Do

• Conduct ongoing coding, billing, and documentation audits to ensure compliance with hospital policies and federal and state regulations

• Interpret medical records and related documentation using advanced coding knowledge to assess accuracy and risk

• Execute compliance audit assignments with a high degree of independence, confidentiality, and professional judgment

• Analyze findings, prepare audit documentation, and identify trends or improvement opportunities

• Present audit results directly to physicians and providers, delivering clear feedback and education on documentation and coding best practices

• Collaborate closely with the Director of Compliance & Audit Services on audit planning, execution, and follow-up

Minimum Requirements

• High school diploma or equivalent

• Current credential: RHIT, RHIA, CCS, or CPC

• Minimum of 3 years of experience in inpatient, outpatient, or physician coding

• Proficiency in Microsoft Office applications

• Strong organizational and multitasking abilities

• Excellent interpersonal and communication skills

• Ability to exercise independent judgment in investigation and document preparation

Preferred Qualifications

• Completion of an AHIMA-accredited Health Information Management or Coding program

• Experience conducting coding and billing audits

• Experience in audit reporting, report design, and data presentation