Associate Compliance Auditor

Nationwide Children's Hospital Inc; Street (MD); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Nationwide Children’s Hospital is seeking an entry-level coder/auditor to join our compliance team. The role blends in-office and remote work, with shifts spanning early morning to evening hours.

You will learn auditing and compliance fundamentals, review billing and coding records, and support education sessions. The ideal candidate has a high school diploma (associate degree preferred), 1 year of professional coding experience, and certification such as CPC or CCS-P.

Qualifications

• High school diploma required; an associate degree in health information management, healthcare administration, or related field preferred.
• Certification in coding (CPC, CCS-P or similar) is required.
• Minimum of 1 year of professional coding experience, preferably pediatric.
• Familiarity with Medicaid coding regulations is a plus.

Responsibilities

• Assist in conducting billing and coding audits under supervision.
• Review inpatient and outpatient medical records for documentation accuracy and appropriateness.
• Review records for completeness and accuracy.
• Support audit processes, documentation, and data entry.
• Assist in preparing audit reports and summaries.
• Participate in compliance education sessions and training.
• Maintain confidentiality and adhere to compliance standards.
• Shadow audit processes and learn methodologies and regulatory frameworks.

Skills

Microsoft Office

Strong communication

Confidentiality

Coding guidelines

Medicaid coding

Education

High school diploma

Associate degree preferred

Tools

Microsoft Office Suite

Job description

Overview

Overview: 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!

Job Description Summary

Job Description Summary: 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.

Employment Statement and EEO

"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"

Company Culture

The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children’s Hospital, Where Passion Meets Purpose. Here, Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission. We’re 15,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we’ll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere. Ask anyone with a Nationwide Children’s badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere. Nationwide Children’s Hospital. A Place to Be Proud.