Senior Healthcare Compliance Auditor

Pediatric Associates Family of Companies; United States; Hybrid; USD 65,000 - 95,000; Full time

Job summary

Pediatric Associates Family of Companies is seeking a Compliance Auditor to ensure adherence to healthcare regulations, internal policies, and industry standards. The role includes auditing clinical, operational, and financial practices, identifying risks, and implementing corrective actions to maintain regulatory compliance.

The candidate will support compliance program development, conduct enterprise audits, and communicate findings to management.

Qualifications

• Bachelor's degree in healthcare administration, nursing, or related field.
• 3–5 years of experience auditing healthcare compliance, medical billing, and coding preferred.
• CHC, CHPC preferred and/or required within a minimum of 2 years of employment.
• Strong knowledge of healthcare laws and regulations.

Responsibilities

• Assist in developing and implementing compliance programs.
• Conduct enterprise audits to assess regulatory compliance.
• Create audit schedules and plans for risk reviews.
• Present findings and recommendations to management.
• Develop corrective action plans to prevent fraud and compliance risks.
• Deliver training on compliance best practices.

Skills

General Knowledge of Healthcare Laws &

Critical Thinking & Analytical Skills

Effective Communication

Adaptability & Flexibility

Self-Directed & Organized

Professional Integrity & Confidentiali

Proficiency in Computer Skills

Training & Facilitation

Education

Bachelor's degree in healthcare administration, nursing, or related field

Tools

Microsoft Office (Outlook, Teams, PowerPoint, Excel, Word)

EHR systems

Job description

Pediatric Associates Family of Companies is seeking a Compliance Auditor to ensure adherence to healthcare regulations, internal policies, and industry standards. The role includes auditing clinical, operational, and financial practices, identifying risks, and implementing corrective actions to maintain regulatory compliance.

The candidate will support compliance program development, conduct enterprise audits, and communicate findings to management.