Physician Coding & Compliance Auditor — Impact

Cedars-Sinai; Los Angeles (CA); Remote; USD 85,000 - 115,000; Full time

Benefits offered by this job

Paid vacation

Wellness initiatives

403(b)

Job summary

Cedars-Sinai in Los Angeles is seeking a Physician Compliance Auditor to review claims, medical records, and charges for compliance with documentation, coding, and billing rules. You will educate providers and staff, deliver audit results via Teams or other remote meetings, and act as a subject matter expert on coding and documentation guidelines.

This role collaborates with the Manager of Audit and Compliance to identify risks, present findings to leaders, and maintain accurate audit records,

Qualifications

• High school diploma or GED required.
• Bachelor's degree preferred.
• Certified Professional Coder certification required upon hire.
• Minimum of 2 years of professional fee coding/auditing experience.

Responsibilities

• Perform physician compliance audits and group audits by analyzing medical record documentation and coding services for compliance with policies.
• Identify areas of risk or non-compliance and provide actionable recommendations.
• Educate and train providers on audit findings, regulatory requirements, and feedback.
• Summarize audit results and present to providers, operations leaders, and leadership.
• Prepare reports and communicate audit results to management and clinicians.
• Develop training materials as a subject matter expert.
• Maintain audit activity in software/spreadsheets and provide regular reporting.

Skills

Audit & coding knowledge

Provider education

Education

Certified Professional Coder (CPC)

Bachelor's degree preferred

Job description

Cedars-Sinai in Los Angeles is seeking a Physician Compliance Auditor to review claims, medical records, and charges for compliance with documentation, coding, and billing rules. You will educate providers and staff, deliver audit results via Teams or other remote meetings, and act as a subject matter expert on coding and documentation guidelines.

This role collaborates with the Manager of Audit and Compliance to identify risks, present findings to leaders, and maintain accurate audit records,