Healthcare Coding & Compliance Auditor

Cardinal Health, Inc.; United States; Presencial; USD 80.000 - 105.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental and vision coverage

401k savings plan

Paid time off

Descripción de la vacante

Cardinal Health is seeking a Compliance Auditor focused on Medical Oncology, Radiation Oncology and Urology to conduct coding, documentation, and billing audits ensuring regulatory and payer adherence. The role requires advanced knowledge of CPT, HCPCS and ICD-10-CM, with a strong eye for detail and risk identification.

The successful candidate will analyze findings, develop actionable recommendations, and educate physicians, coders and staff while supporting ongoing compliance initiatives

Formación

• Certified coder with AAPC or AHIMA certification.
• 4–8 years of experience in compliance auditing preferred.
• Undergraduate degree preferred.

Responsabilidades

• Conduct coding, billing, and documentation audits to identify risks.
• Review medical records and claims for regulatory, payer, and organizational compliance.
• Analyze audit findings, identify trends and opportunities for improvement, and recommend corrective actions.
• Prepare audit reports and communicate findings to leadership, providers, coders, and operational stakeholders.
• Provide education and guidance to physicians, coders, and staff on coding, documentation, compliance requirements, and industry best practices.
• Research coding and documentation questions to support accurate code assignment and reimbursement.
• Assign and validate ICD-10-CM, CPT, HCPCS, and modifier usage for professional and facility services as applicable.
• Coordinate responses to external audit and medical record requests and ensure timely submission of required documentation.
• Maintain current knowledge of coding guidelines, payer policies, and healthcare regulations impacting Medical Oncology, Radiation Oncology, and Urology services.
• Collaborate with Compliance, Revenue Cycle, Coding, Clinical, and Operational teams on monitoring activities and compliance initiatives.
• Perform other duties as assigned.

Educación

Coding certification from an accredited source (AAPC, AHIMA, etc.)

Undergraduate degree

Descripción del empleo

Cardinal Health is seeking a Compliance Auditor focused on Medical Oncology, Radiation Oncology and Urology to conduct coding, documentation, and billing audits ensuring regulatory and payer adherence. The role requires advanced knowledge of CPT, HCPCS and ICD-10-CM, with a strong eye for detail and risk identification.

The successful candidate will analyze findings, develop actionable recommendations, and educate physicians, coders and staff while supporting ongoing compliance initiatives