Remote Healthcare Compliance Auditor (Coding & Audits)

Cardinal Health; Honolulu (HI); Remote; USD 80,000 - 105,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401k savings plan

Paid time off

Job summary

Cardinal Health is seeking a Compliance Auditor to conduct coding and documentation audits focusing on Medical Oncology, Radiation Oncology, and Urology services. The role requires advanced knowledge of CPT, HCPCS, ICD-10-CM, and reimbursement methodologies, with a strong emphasis on compliance and education.

The role involves analyzing complex claims, identifying risk trends, delivering education to providers and staff, and collaborating with Compliance, Revenue Cycle, Coding, Clinical, and

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.

Skills

Healthcare coding

Auditing

Medical oncology

Regulatory compliance

Education and training

Education

Undergraduate degree

Job description

Cardinal Health is seeking a Compliance Auditor to conduct coding and documentation audits focusing on Medical Oncology, Radiation Oncology, and Urology services. The role requires advanced knowledge of CPT, HCPCS, ICD-10-CM, and reimbursement methodologies, with a strong emphasis on compliance and education.

The role involves analyzing complex claims, identifying risk trends, delivering education to providers and staff, and collaborating with Compliance, Revenue Cycle, Coding, Clinical, and