Remote Healthcare Coding Auditor & Compliance Expert

Cardinal Health; Lincoln (NE); A distancia; USD 80.000 - 105.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental and vision coverage

Paid time off plan

Health savings account (HSA)

401k savings plan

Access to wages before pay day with my

Flexible spending accounts (FSAs)

Short- and long-term disability

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Descripción de la vacante

Cardinal Health is seeking a Compliance Auditor to conduct coding, documentation audits and ensure adherence to regulatory requirements across Medical Oncology, Radiation Oncology and Urology services.

The role requires advanced knowledge of CPT, HCPCS, ICD-10-CM, reimbursement methodologies, and healthcare compliance, with a focus on risk identification and education for providers and staff.

Formación

• Authorized coding certification from an accredited body (e.g., AAPC, AHIMA).
• Experience with healthcare coding, auditing, and compliance processes.

Responsabilidades

• Conduct coding, billing, and documentation audits to identify compliance, coding, and reimbursement risks.
• Review medical records and claims for regulatory and payer compliance.
• Analyze audit findings and recommend corrective actions.
• Prepare audit reports and present findings to leadership and stakeholders.
• Provide education on coding and compliance to physicians, coders, staff.
• Coordinate responses to external audits and MR requests.
• Maintain current knowledge of coding guidelines and payer policies.
• Collaborate with cross-functional teams on monitoring activities.
• Perform other duties as assigned.

Conocimientos

Coding certification

Educación

Undergraduate degree

Descripción del empleo

Cardinal Health is seeking a Compliance Auditor to conduct coding, documentation audits and ensure adherence to regulatory requirements across Medical Oncology, Radiation Oncology and Urology services.

The role requires advanced knowledge of CPT, HCPCS, ICD-10-CM, reimbursement methodologies, and healthcare compliance, with a focus on risk identification and education for providers and staff.