Compliance Auditor

Saltu Staffing; Texas (NJ); Remote; USD 65,000 - 100,000; Full time

Job summary

A leading healthcare organization is seeking a HIMs Compliance Auditor to ensure compliance with healthcare regulations and coding guidelines. This fully remote position involves conducting audits, identifying areas for improvement, and providing recommendations to enhance documentation accuracy and regulatory adherence.

Benefits

Flexible work arrangements

Opportunities for professional development

Qualifications

• Minimum of 3 years of experience in HIM auditing or coding compliance.
• Strong knowledge of healthcare compliance regulations.

Responsibilities

• Perform comprehensive audits of medical records for compliance.
• Provide feedback and education on documentation standards.
• Prepare detailed reports and present findings to leadership.

Skills

Analytical Skills

Communication

Attention to Detail

Education

Bachelor’s degree in Health Information Management

Tools

ICD-10

CPT

HCPCS

DRG coding

Job description

Direct message the job poster from Saltu Staffing

A leading healthcare organization is seeking a HIMs Compliance Auditor to ensure compliance with healthcare regulations, coding guidelines, and internal policies. This fully remote position involves conducting audits, identifying areas for improvement, and providing recommendations to enhance documentation accuracy and regulatory adherence.

Key Responsibilities:

• Perform comprehensive audits of medical records to ensure compliance with federal and state regulations, including HIPAA and CMS guidelines.
• Review coding accuracy and documentation integrity to mitigate risks and ensure proper reimbursement.
• Identify trends, patterns, and discrepancies in medical record documentation and coding practices.
• Provide feedback and education to healthcare providers and staff on documentation and compliance standards.
• Collaborate with internal teams to develop action plans for addressing compliance issues.
• Stay updated on industry regulations, policies, and best practices to maintain audit effectiveness.
• Prepare detailed reports and present findings to leadership.
• Assist with regulatory audits and respond to inquiries from external auditors.

Qualifications:

• Education: Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field preferred.
• Experience: Minimum of 3 years of experience in HIM auditing, coding compliance, or a related role.

Certifications: RHIA, RHIT, CCS, or CPC preferred.

• Strong knowledge of ICD-10, CPT, HCPCS, and DRG coding guidelines.
• Familiarity with CMS regulations, HIPAA, and other healthcare compliance requirements.
• Excellent analytical skills with attention to detail and accuracy.
• Strong communication and interpersonal skills for provider education and collaboration.
• Ability to work independently in a fully remote setting with minimal supervision.
• Fully remote position with flexible work arrangements.
• Opportunities for professional development and career growth.

If you are a detail-oriented compliance professional passionate about ensuring regulatory adherence in healthcare, we encourage you to apply!

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Accounting/Auditing

• Industries

  Hospitals and Health Care

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