Healthcare Compliance Auditor I

Baylor Scott & White Health; Santa Fe (NM); On-site; USD 43,000 - 65,000; Full time

Job summary

Baylor Scott & White Health is seeking a Corporate Compliance Consultant to develop, implement, and maintain policies ensuring adherence to laws and BSWH standards. The role supports the Coding Compliance Manager and Compliance VP/Director, driving audits, investigations, and actionable reports.

The position requires educating providers, coordinating corrective actions, and maintaining strong compliance knowledge, with emphasis on CPT/ICD-10-CM, CMS rules, and payer documentation.

Qualifications

• Education: Bachelor's or 4 years of work experience above the minimum qualification.
• Experience: 2+ years of experience, preferably in the auditing space.

Responsibilities

• Identifies appropriate projects for audits and schedules audits with appropriate personnel.
• Conducts auditing, monitoring, and investigating activities to ensure compliance with BSWH policies and regulations.
• Provides written audit and investigation reports, identifying risks and recommending steps to improve effectiveness and mitigate risks.
• Obtains corrective action plans for identified deficiencies and follows through to ensure completion.
• Tracks audit findings and surveys personnel audited to assess audit satisfaction and effectiveness.
• Provides and coordinates coding education with providers regarding audit trends and training for compliance initiatives.
• Serves as a coding compliance resource to BSWH departments and entities on basic compliance matters.

Education

Bachelor's degree or 4 years of work experience

Job description

Baylor Scott & White Health is seeking a Corporate Compliance Consultant to develop, implement, and maintain policies ensuring adherence to laws and BSWH standards. The role supports the Coding Compliance Manager and Compliance VP/Director, driving audits, investigations, and actionable reports.

The position requires educating providers, coordinating corrective actions, and maintaining strong compliance knowledge, with emphasis on CPT/ICD-10-CM, CMS rules, and payer documentation.