Associate Compliance Auditor

 

HYBRID Role. 1 day in office (Near East Office Building) and 4 days from home (after probationary period). Works between 6am and 7pm. This is a new role to introduce a coder to auditing and compliance with opportunity to grow into a Compliance Audit and Education Specialist in as little as 15 months!

 

 

Performs foundational audit tasks, assists with documentation reviews, and learns core auditing and compliance principles. This role is designed for early-career professionals or internal candidates transitioning into compliance.

 

 

Essential Functions:

• Assists in conducting billing and coding audits under supervision, which includes a review of inpatient and outpatient medical records to determine appropriateness of documentation, procedure, and diagnosis coding. Audits involve professional and facility billing.
• Reviews medical records for completeness and accuracy.
• Supports audit processes, documentation, and data entry.
• Helps prepare audit reports and summaries.
• Participates in compliance education sessions and training.
• Maintains confidentiality and adheres to compliance standards.
• Shadows to learn audit processes, methodologies, and regulatory frameworks.

Education Requirement:

• High school diploma or equivalent required. 
• Enrolled in or Completion of an associate’s degree in health information management, Healthcare Administration, or related field preferred. 

Certifications:

Certified Professional Coder (CPC), CCS-P or other similar coding certification, required.

Skills:

• Familiar with Microsoft Office Suite.
• Strong written, verbal, and interpersonal communication skills to work collaboratively with team members and hospital staff at all levels. Comfortable sharing information with others and willing to develop presentation skills.
• Comfortable working under guidance while developing independence in tasks. 
• Understands the importance of confidentiality and is committed to handling sensitive information responsibly.
• Must possess high ethical standards.
• Familiarity with coding guidelines and eager to gain experience in auditing and hospital coding.
• Working knowledge of Medicaid coding regulations.

Experience:

1 year of professional coding experience, preferably in a pediatric healthcare setting.

Physical Requirements:

OCCASIONALLY: Bend/twist, Climb stairs/ladder, Color vision, Loud Noises, Peripheral vision, Pushing / Pulling: 0-25 lbs, Squat/kneel, Standing, Walking

FREQUENTLY: Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs

CONTINUOUSLY: Audible speech, Computer skills, Decision Making, Depth perception, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use, Sitting

Additional Physical Requirements performed but not listed above:

Able to multi-task in a stressful environment.

 

 

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"