Remote Healthcare Compliance Auditor — Coding & Audits

Cardinal Health; Denver (CO); Remote; USD 80,000 - 105,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Health savings account

Job summary

Cardinal Health is seeking a Compliance Auditor to conduct coding, documentation, and reimbursement audits across Medical Oncology, Radiation Oncology, and Urology services. You will analyze complex claims, identify risks, and develop corrective actions, while educating providers and staff on coding and compliance requirements.

The role emphasizes diligence, collaboration, and continuous improvement, with responsibilities spanning audit reporting, trend analysis, and coordination with

Qualifications

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

Responsibilities

• 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.

Skills

Healthcare coding

CPT coding

HCPCS coding

ICD-10-CM

Reimbursement methodologies

Regulatory compliance

Attention to detail

Education

AAPC or AHIMA coding certification

Undergraduate degree

Job description

Cardinal Health is seeking a Compliance Auditor to conduct coding, documentation, and reimbursement audits across Medical Oncology, Radiation Oncology, and Urology services. You will analyze complex claims, identify risks, and develop corrective actions, while educating providers and staff on coding and compliance requirements.

The role emphasizes diligence, collaboration, and continuous improvement, with responsibilities spanning audit reporting, trend analysis, and coordination with