Healthcare Compliance Auditor

• Plan and perform medical record audits to determine coding accuracy and compliant claims submission.
• Conduct analysis of audit findings to identify trends/problems in coding and documentation.
• Monitor relevant resources, publications, and current government compliance and enforcement activity.

Requirements

• 4-year degree (BS or BA).
• Active coding certification from either AAPC (CPC, CPMA) or AHIMA (CCC-P, AOC) is required.
• 2+ years of work experience with a focus on healthcare provider billing and coding.
• Experience with physician practice coding, ASC coding, and/or post-acute coding.
• Comprehensive knowledge of Medicare rules, regulations, and guidelines.