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Senior Coding Compliance Auditor – Inpatient
Ensemble Health Partners. Assist with development and execution of the Annual Compliance Workplan, including Auditing and Monitoring Workplans .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in compliance auditing, coding standards, and healthcare regulations, with a strong ability to analyze audit findings and develop actionable recommendations. Proficient in coaching and mentoring auditors while maintaining collaborative relationships with stakeholders.
Highest-signal resume keywords
Compliance AuditingICD-10 Coding KnowledgeEpic KnowledgeCPC CertificationHealthcare Compliance Standards
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
AuditingCoding ComplianceData AnalysisReport PreparationProcess ImprovementRisk AssessmentManagement Action PlansRevenue Cycle OperationsRegulatory ComplianceQuality Program Implementation
Soft Skills
CoachingMentoringCollaborationCommunicationInquisitive Mindset
Tools & Technologies
EpicCernerMeditechAudit Management PlatformMicrosoft WordMicrosoft Excel
Certifications & Qualifications
CPCCCSRHIARHITCHC
Industry Keywords
HealthcareAcute CodingComplianceAuditsCoding Standards
About the role
Key responsibilities & impact- Assist with development and execution of the Annual Compliance Workplan, including Auditing and Monitoring Workplans
- Lead and complete detailed coding compliance audits, including complex audits
- Implement Management Action Plans and prepare high-quality audit reports
- Establish and maintain an Audit the Auditor quality program
- Coach and mentor new and existing Coding auditors
- Analyze audit findings to identify discrepancies, trends, patterns, and potential non-compliance
- Develop actionable recommendations and partner with service line leaders on Management Action Plans
- Provide updates to Compliance leadership and escalate potential compliance concerns
- Create and maintain audit process training materials and support auditors using the audit management platform
- Serve as a resource for Coding leaders on compliance audit questions and concerns
- Maintain compliance audit records, analytical reports, issue logs, dashboards, documents, and records
- Assist with onboarding, work assignment, and follow-up for Compliance coding auditors
- Assess the Compliance audit program and identify process improvement opportunities
- Assist with annual risk assessment and work plan preparation
- Evaluate internal and operational controls related to regulatory requirements and corporate integrity
- Maintain collaborative relationships with internal and external stakeholders
- Participate in compliance projects and program effectiveness evaluations
Requirements
What you’ll need- 5–7+ years of experience in healthcare, acute coding, compliance, audits, or a related field
- ICD-10, DRG, CPT, and HCPCS coding knowledge, including acute outpatient and inpatient experience
- Knowledge of revenue cycle operations, compliance standards, and auditing standards
- Knowledge of Epic, Cerner, and/or Meditech
- Basic Word and Excel knowledge
- Travel not to exceed 10%
- Must be inquisitive and open to innovation, including AI
- Must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require
- Must keep current at least one of: CPC, CCS, RHIA, or RHIT; CCS preferred
- CHC may be obtained at a designated time upon acceptance into the role
- Bachelor's degree or equivalent experience in Health Records Management/Medical Coding preferred
- Must reside in and be authorized to work within the United States
Benefits
Comp & perks- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive healthcare, time off, retirement, and well-being benefits
- Career advancement opportunities
- Professional certification relevant to the field for each associate
- Quarterly and annual incentive programs
- Work-life flexibility
- Remote work arrangement