Remote Healthcare Compliance Auditor – Coding & Audits

Cardinal Health; Dover (DE); Remote; USD 80,000 - 105,000; Full time

Benefits offered by this job

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

Job summary

Cardinal Health, a leading healthcare solutions company, seeks a Compliance Auditor to assess coding, documentation and reimbursement practices across Medical Oncology, Radiation Oncology and Urology services. The role requires detailed audit work, strong knowledge of CPT/HCPCS/ICD-10-CM, and collaboration with cross-functional teams to improve compliance and revenue integrity.

The ideal candidate demonstrates meticulous attention to detail, regulatory savvy, and a proven track record in

Qualifications

• Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects.
• May contribute to the development of policies and procedures.
• Works on complex projects of large scope.
• Develops technical solutions to a wide range of difficult problems.
• Solutions are innovative and consistent with organization objectives.
• Completes work; independently receives general guidance on new projects.
• Work reviewed for purpose of meeting objectives.
• May act as a mentor to less experienced colleagues.

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

Coding certification (AAPC/AHIMA)

Healthcare coding & compliance

Education

Undergraduate degree

Job description

Cardinal Health, a leading healthcare solutions company, seeks a Compliance Auditor to assess coding, documentation and reimbursement practices across Medical Oncology, Radiation Oncology and Urology services. The role requires detailed audit work, strong knowledge of CPT/HCPCS/ICD-10-CM, and collaboration with cross-functional teams to improve compliance and revenue integrity.

The ideal candidate demonstrates meticulous attention to detail, regulatory savvy, and a proven track record in