Senior Healthcare Compliance Auditor

Montefiore New Rochelle; New York (NY); On-site; USD 95,000 - 130,000; Full time

Job summary

Montefiore Medical Center seeks a Senior Compliance Auditor to safeguard revenue and reputation. You will participate in external audits, coordinate medical record audits, and develop action plans to mitigate compliance risks across departments.

You will deliver formal audit reports to leadership, conduct close-out meetings, and educate providers and staff on billing/coding standards and compliance requirements. Strong auditing and communication skills are essential.

Qualifications

• Bachelor Degree Required.
• Minimum 5 Years of Billing, Coding, and Documentation experience in a hospital setting Required.
• Coding certification (such as CCS, CPC, RHIA, RHIT) Required.
• Knowledge of local, state, and federal rules and regulations.
• Ability to navigate registration, billing, and documentation systems.
• Excellent written and oral communication skills.
• Highly organized and analytical.

Responsibilities

• Participates in external government audits and coordinates audit activities.
• Develops formal audit reports presented to senior management and Board of Trustees.
• Conducts audits of documentation, coding and billing for technical and professional services.
• Communicates with external agencies regarding audits and voluntary disclosures.
• Trains 500+ physicians and staff on compliance, coding and billing education.

Skills

Billing & Coding

Documentation

Auditing

Education

Bachelor's Degree

Tools

Coding Certification

Job description

Montefiore Medical Center seeks a Senior Compliance Auditor to safeguard revenue and reputation. You will participate in external audits, coordinate medical record audits, and develop action plans to mitigate compliance risks across departments.

You will deliver formal audit reports to leadership, conduct close-out meetings, and educate providers and staff on billing/coding standards and compliance requirements. Strong auditing and communication skills are essential.