Compliance Auditor

Compass Health Network

. Audit service documentation for completeness, accuracy, and compliance with payer requirements .

Posted 11/12/2026full-timeRemote • Missouri • United StatesMid-LevelSenior💰 $18 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in auditing processes, including compliance with payer requirements and regulatory standards, while effectively communicating findings and collaborating with diverse healthcare teams. Proficient in analyzing data and implementing improvements to enhance operational efficiency and accuracy.

Highest-signal resume keywords

Audit Tool Software ProficiencyICD-10 Coding AccuracyHealthcare Reimbursement Systems FamiliarityData Interpretation and AnalysisClear Communication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Audit DocumentationRegulatory ComplianceClinical Documentation ImprovementMedical TerminologyExcel ProficiencyAnomaly AnalysisRisk MitigationClaim Rejection ResolutionEHR Systems ReportingCPT Coding

Soft Skills

Detail-OrientedHighly OrganizedCollaborativeIndependent WorkContinuous Learning

Industry Keywords

Healthcare EnvironmentAudit ProcessesCompliance StandardsOperational ImprovementPatient Accounting

About the role

Key responsibilities & impact

Audit service documentation for completeness, accuracy, and compliance with payer requirements
Use audit tool software to conduct audits, document findings, and support audit activities
Collaborate with internal audit staff on joint projects and identify opportunities to improve audit processes
Educate providers on audit findings and communicate results clearly, concisely, and accurately
Analyze anomalies identified through audit processes and escalate findings for further review
Apply program-specific regulatory requirements and dual-program audit procedures
Perform audit activities according to established efficiency standards and Audit Services leadership expectations
Meet with Compliance and Audit leadership to discuss findings, processes, priorities, and improvements
Evaluate clinical and operational changes' impact on audit processes and implement or recommend risk-mitigation actions
Participate in reviewing and resolving claim rejections and reimbursement discrepancies with Patient Accounting
Monitor documentation trends and report deficiencies and compliance concerns
Conduct follow-up clinical documentation improvement education based on audit findings
Review medical codes using ICD-10 and CPT to assess coding accuracy and compliance
Extract and analyze reports from electronic health record (EHR) systems for auditing, monitoring, and reporting
Perform other duties as assigned

Requirements

What you’ll need

High School/GED required
At least one (1) year of medical terminology preferred
Must have experience working collaboratively with diverse groups in a healthcare environment
Must be familiar with government healthcare reimbursement systems
Experience in ICD, DSM V, and Excel preferred
Detail-oriented and highly organized, with the ability to manage multiple priorities effectively
Ability to work independently and collaboratively to improve processes and outcomes
Ability to interpret data and identify patterns supporting compliance and operational improvement
Clear and professional communication with clinical and administrative teams
Commitment to accuracy, accountability, and continuous learning in a healthcare environment