Physician Practice Compliance & Coding Auditor (Hybrid)

Hackensack Meridian Health Inc.; Iselin (PA); Hybrid; USD 95,000 - 125,000; Full time

Job summary

Hackensack Meridian Health is seeking a Physician Practice Compliance Specialist to assure ongoing compliance within our physician enterprise and affiliated services. The role focuses on documentation, coding accuracy, and regulatory requirements across Medicare, Medicaid, and state programs.

The position is hybrid and requires a BA/BS, 5+ years coding/audit experience, and a CCS or CPC credential. Epic Ambulatory proficiency and strong regulatory knowledge are preferred.

Qualifications

• Minimum of 5 years coding and/or audit experience in a hospital, consulting firm or practice management setting.
• Proficiency with ICD-10 and CPT-4 methodologies.
• Proficiency with physician documentation and reimbursement methodologies.
• Proficiency in the use of an electronic health record, preferably Epic Ambulatory.

Responsibilities

• Assure ongoing compliance by actively participating in the Compliance Program for Hackensack Meridian Health and affiliated services.
• Proactively assess changes in the regulatory environment; research, investigate and respond to issues related to documentation, coding and licensure.
• Ensure accurate documentation of professional services provided throughout the physician enterprise; review claims and assess adequacy; recommend enhancements to policies, procedures and internal controls for documentation and billing to meet payer and regulatory requirements.

Skills

Coding experience

Audit experience

Documentation accuracy

Regulatory knowledge

Education

BA/BS

Tools

Epic Ambulatory

Job description

Hackensack Meridian Health is seeking a Physician Practice Compliance Specialist to assure ongoing compliance within our physician enterprise and affiliated services. The role focuses on documentation, coding accuracy, and regulatory requirements across Medicare, Medicaid, and state programs.

The position is hybrid and requires a BA/BS, 5+ years coding/audit experience, and a CCS or CPC credential. Epic Ambulatory proficiency and strong regulatory knowledge are preferred.