Remote Healthcare Compliance Auditor (Coding & Audit)

Cardinal Health; Columbia (SC); 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

Descripción de la vacante

Cardinal Health is seeking a Compliance Auditor to perform coding, documentation audits and education across Medical Oncology, Radiation Oncology and Urology services. The role emphasizes CPT, HCPCS, ICD-10-CM knowledge and strong collaboration with compliance, revenue cycle and operations teams.

Ideal candidates will have a coding certification and 4–8 years of experience, plus an undergraduate degree. This is a country-wide remote, full-time position with comprehensive benefits.

Formación

• Coding certification from an accredited source (AAPC, AHIMA, etc.)
• 4-8 years of experience, preferred
• Undergraduate degree, preferred

Responsabilidades

• Conduct coding, billing, and documentation audits to identify compliance, coding, and reimbursement risks.
• Review medical records and claims to ensure compliance with regulatory, payer, and organizational requirements.
• Analyze audit findings, identify trends and opportunities for improvement, and recommend corrective actions.
• Prepare audit reports and communicate findings to leadership, providers, coders, and operational stakeholders.
• Provide education and guidance to physicians, coders, and staff on coding, documentation, compliance requirements, and industry best practices.
• Research coding and documentation questions to support accurate code assignment and reimbursement.
• Assign and validate ICD-10-CM, CPT, HCPCS, and modifier usage for professional and facility services as applicable.
• Coordinate responses to external audit and medical record requests and ensure timely submission of required documentation.
• Maintain current knowledge of coding guidelines, payer policies, and healthcare regulations impacting Medical Oncology, Radiation Oncology, and Urology services.
• Collaborate with Compliance, Revenue Cycle, Coding, Clinical, and Operational teams on monitoring activities and compliance initiatives.
• Perform other duties as assigned.

Conocimientos

Coding certification

Educación

Undergraduate degree

Descripción del empleo

Cardinal Health is seeking a Compliance Auditor to perform coding, documentation audits and education across Medical Oncology, Radiation Oncology and Urology services. The role emphasizes CPT, HCPCS, ICD-10-CM knowledge and strong collaboration with compliance, revenue cycle and operations teams.

Ideal candidates will have a coding certification and 4–8 years of experience, plus an undergraduate degree. This is a country-wide remote, full-time position with comprehensive benefits.