Senior Coding Compliance Auditor - Inpatient
Core
Lead and execute detailed coding compliance audits for acute inpatient 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 for hospital revenue cycle operations
Domain
Healthcare / Medical Coding Compliance
Required skills
ICD-10, DRG, CPT, HCPCS coding knowledge, acute inpatient coding experience, audit execution, risk assessment, management action plan development, audit quality program management, stakeholder collaboration, regulatory compliance knowledge
Preferred skills
Epic, Cerner, Meditech EHR knowledge, AI process innovation, training material creation, annual risk assessment development
Technologies
Epic, Cerner, Meditech, Excel, Word
Responsibilities
Conduct detailed coding auditing and monitoring activities on the acute side; Analyze audit findings to identify discrepancies and develop management action plans; Create and maintain an Audit the Auditor program; Provide regular updates to Compliance leadership on audit outcomes; Create and maintain training materials for auditors; Assist with onboarding of new Compliance coding auditors; Assist with work assignment of auditors and follow up on deliverables; Assist with the development of the annual risk assessment and work plan; Help evaluate the adequacy of internal controls for regulatory compliance.
Seniority
Senior, hands-on IC with mentorship responsibilities