Healthcare Coding Compliance Auditor

WellSpan Health; Ephrata (Lancaster County); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Comprehensive health benefits

Retirement savings plan

Paid time off (PTO)

Education assistance

DailyPay

Expanded Paid Parental Leave

Job summary

WellSpan Health is seeking a dedicated Compliance Coding Auditor to ensure adherence to federal and state regulations across our system. You will perform audits, present findings to management, and help develop training for employees.

The role emphasizes proactive coding integrity, education programs, and collaboration with enterprise applications and leadership to prevent fraud and abuse. Strong knowledge of ICD-9/ICD-10 and CPT, plus experience in coding or auditing, is required or preferred.

Qualifications

• Associates Degree required.
• 3 years coding/auditing experience required.
• Certified Professional Coder or CCS/CCS-PHP preferred upon hire

Responsibilities

• Performs clinical documentation audits, evaluations and other reviews for compliance.
• Investigates and recommends action when compliance issues are found; monitors implementation of corrective actions.
• Assists with coding compliance implementation throughout WellSpan.
• Develops and disseminates education and training processes for employees regarding coding compliance.
• Assists with investigations in accordance with organization protocol.
• Responds to questions and reports of possible coding or billing misconduct.
• Supports compliance with federal, state and local standards to prevent fraud and abuse.
• Prepares written reports and presents findings to managers and boards.

Skills

ICD-9/ICD-10 & CPT coding knowledge

Written and verbal communication

Team collaboration

Education

Associates Degree

Job description

WellSpan Health is seeking a dedicated Compliance Coding Auditor to ensure adherence to federal and state regulations across our system. You will perform audits, present findings to management, and help develop training for employees.

The role emphasizes proactive coding integrity, education programs, and collaboration with enterprise applications and leadership to prevent fraud and abuse. Strong knowledge of ICD-9/ICD-10 and CPT, plus experience in coding or auditing, is required or preferred.