Healthcare Compliance Coding Auditor & Audit Expert

Advanced Medical Management, Inc.; Long Beach (CA); On-site; USD 75,000 - 80,000; Full time

Benefits offered by this job

Full employer-paid HMO

Discounted vision and dental premiums

Flexible Spending Accounts (FSAs)

401(k) plan

Generous PTO and paid holidays

Tuition reimbursement

Paid company outings and lunches

Job summary

A leading healthcare management firm is seeking a Compliance Coding Auditor to support its Compliance & Ethics Program. The role involves auditing and monitoring compliance in healthcare practices, ensuring accurate coding and billing processes. Candidates should have 5-10 years of relevant experience in healthcare along with necessary certifications. The position offers comprehensive benefits including a full employer-paid HMO, generous PTO, and tuition reimbursement.

Qualifications

• Five to ten years of relevant professional experience in healthcare.
• Experience auditing healthcare claims in a large healthcare provider organization.
• Demonstrated ability to work effectively with stakeholders.

Responsibilities

• Perform internal compliance audits of documentation and coding.
• Prepare and present audit findings to stakeholders.
• Collaborate on corrective action plans to address compliance issues.

Skills

Healthcare auditing

Collaboration

Risk awareness

Documentation accuracy

Integrity

Education

Undergraduate degree in Health Business or related field

Coding certification (CPC or CRC)

Top-tier healthcare audit certification (CPMA)

Job description

A leading healthcare management firm is seeking a Compliance Coding Auditor to support its Compliance & Ethics Program. The role involves auditing and monitoring compliance in healthcare practices, ensuring accurate coding and billing processes. Candidates should have 5-10 years of relevant experience in healthcare along with necessary certifications. The position offers comprehensive benefits including a full employer-paid HMO, generous PTO, and tuition reimbursement.