Senior Healthcare Compliance Auditor: Coding & Audit Lead

US Anesthesia Partners; United States; On-site; USD 100,000 - 140,000; Full time

Job summary

US Anesthesia Partners is seeking a Sr Compliance Auditor to lead audits on anesthesia documentation, coding, and billing to ensure regulatory compliance. You will communicate results to management and providers, develop training programs, and support corrective action plans.

Strong coding credentials and audit leadership are essential. Ideal candidates have extensive anesthesia coding experience, CPT/ASA/ICD-10 expertise, and can mentor junior auditors while collaborating with coding, clinical,

Qualifications

• High school diploma or equivalent is required; associate or bachelor’s degree in a related field is preferred.
• 7+ years of anesthesia coding experience or an equivalent combination of education and coding experience; leadership/oversight of audit programs is ideal.
• Certification in medical coding (CPC or CCS) required.
• CANPC or CPMA/CHA certifications preferred.
• Expert knowledge of CPT, ASA, and ICD-10 coding; familiarity with Medicare/Medicaid and workers’ compensation rules.

Responsibilities

• Leads and conducts continuous audits on a set schedule, focusing on anesthesia documentation, billing, and coding compliance.
• Evaluates clinical documentation to validate compliance with coding, documentation, and billing laws and guidelines.
• Prepares and reviews medical records to assess documentation, coding, and charge accuracy and identify variances.
• Develops and delivers targeted communications and training for healthcare providers based on audit findings.
• Presents audit reports and coordinates corrective action plans with compliance leadership.
• Stays current on laws and guidance applicable to anesthesia coding, billing, and documentation.

Skills

Anesthesia coding

Auditing

Communication skills

Data analysis

Leadership / mentoring

Project management

Time management

Research skills

Education

High school diploma

Bachelor’s degree preferred

Medical coding certification (CPC/ CCS) required

CANPC preferred

CPMA or CHA preferred

Tools

Word processing

Spreadsheets

Data-based programs

Job description

US Anesthesia Partners is seeking a Sr Compliance Auditor to lead audits on anesthesia documentation, coding, and billing to ensure regulatory compliance. You will communicate results to management and providers, develop training programs, and support corrective action plans.

Strong coding credentials and audit leadership are essential. Ideal candidates have extensive anesthesia coding experience, CPT/ASA/ICD-10 expertise, and can mentor junior auditors while collaborating with coding, clinical,