Healthcare Coding Compliance Auditor

University Hospitals; Shaker Heights (OH); On-site; USD 60,000 - 90,000; Full time

Job summary

University Hospitals is seeking a Coding Compliance Analyst to perform complex professional and facility coding audits across specialties and locations within the Health System, ensuring compliance with government and payer guidelines.

You will review internal data, conduct chart audits, identify risks, and partner with staff to implement corrective actions and process improvements while safeguarding PHI. This role supports annual risk assessments and department initiatives.

Qualifications

• Experience performing healthcare coding audits across clinical settings (inpatient/outpatient).
• Strong data analysis skills to identify trends and risk areas.

Responsibilities

• Perform reviews of internal data reports to identify coding and documentation risk and audit needs.
• Plan and conduct routine and moderately complex audits, including chart reviews, to evaluate medical codes and identify corrective actions.
• Monitor coding and documentation materials for compliance with laws, regulations, and contracts.
• Research and develop compliance tools and resources for internal use and publication.

Skills

Medical coding audits

Data analysis

Regulatory compliance

Job description

University Hospitals is seeking a Coding Compliance Analyst to perform complex professional and facility coding audits across specialties and locations within the Health System, ensuring compliance with government and payer guidelines.

You will review internal data, conduct chart audits, identify risks, and partner with staff to implement corrective actions and process improvements while safeguarding PHI. This role supports annual risk assessments and department initiatives.