Audit Defense Auditor & Coder — Healthcare Compliance Lead

CareCloud; New Jersey; Hybrid; USD 70,000 - 100,000; Full time

Job summary

Empower Healthcare and Compliance Partners, a CareCloud subsidiary, is seeking an Audit Defense Auditor/Coder in a hybrid on-site role based in Somerset, NJ or Fort Lauderdale, FL. You will conduct detailed medical record reviews, ensure CMS and payer guidelines compliance, and generate precise findings reports for clients.

You'll lead coding audits, mentor teams, analyze data to improve documentation, and support appeals with Legal and Compliance.

Qualifications

• Associate’s degree in healthcare, Clinical or Business related.
• 5 years’ experience with clinical documentation auditing.
• 3+ years in CMS/payor audit defense and chart reviews.
• Preferred: 5 years Coding Project Management.

Responsibilities

• Lead regulatory audits for coding teams.
• Ensure completion of projects to meet regulatory / departmental deadlines.
• Provide business and/or SME support for regulatory audits.
• Prepare final audit reports per exact specifications for Audit Defense or Client Audit.
• Assist Legal with Appeals of Regulatory Audit final determinations.
• Conduct data analyses from medical record reviews to identify opportunities to improve provider documentation.

Skills

Medical Coding proficiency

Analytical skills

Communication skills

Team leadership

Education

Associate’s degree in healthcare, Clinical or Business Related

Bachelor’s degree preferred

CCS/CPC certification

Job description

Empower Healthcare and Compliance Partners, a CareCloud subsidiary, is seeking an Audit Defense Auditor/Coder in a hybrid on-site role based in Somerset, NJ or Fort Lauderdale, FL. You will conduct detailed medical record reviews, ensure CMS and payer guidelines compliance, and generate precise findings reports for clients.

You'll lead coding audits, mentor teams, analyze data to improve documentation, and support appeals with Legal and Compliance.