Senior Coding Compliance Auditor - Outpatient
Core
Lead and execute detailed coding compliance audits for acute and outpatient services, analyze findings to identify non-compliance trends, and develop actionable management action plans to mitigate risks.
Role type
Senior IC healthcare coding compliance auditor
Builds
Compliance audit reports, management action plans, and quality improvement programs
Domain
Healthcare revenue cycle management and regulatory compliance
Required skills
ICD-10, DRG, CPT, HCPCS coding knowledge, acute and outpatient coding experience, audit execution, trend analysis, management action plan development, audit quality program management, stakeholder communication
Preferred skills
Epic, Cerner, Meditech EHR knowledge, AI process improvement, training material creation
Technologies
Epic, Cerner, Meditech, Excel, Word
Responsibilities
Conduct detailed coding audits on acute side, analyze audit findings to identify discrepancies and trends, create and maintain an Audit the Auditor program, provide regular updates to Compliance leadership, create and maintain training materials for auditors, assist with onboarding new auditors, manage compliance audit records and dashboards, evaluate internal controls for regulatory adherence
Seniority
Senior, hands-on IC with mentorship responsibilities