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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 risk mitigation strategies within the healthcare sector. Proficient in developing actionable recommendations and maintaining collaborative relationships with stakeholders to enhance compliance effectiveness.
Highest-signal resume keywords
ICD-10 Coding KnowledgeCPC CertificationCompliance AuditingEpic KnowledgeRevenue Cycle Operations
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CPT Coding KnowledgeHCPCS Coding KnowledgeAuditing StandardsManagement Action PlansData AnalysisProcess ImprovementAudit ReportingCompliance Risk MitigationHealthcare ComplianceCoding Guidelines
Soft Skills
CoachingMentoringCollaborationCommunicationProblem-Solving
Tools & Technologies
EpicCernerMeditechMicrosoft WordMicrosoft Excel
Certifications & Qualifications
CPCCCSRHIARHITCHC
Industry Keywords
HealthcareAcute CodingCompliance StandardsAuditingRegulatory Requirements
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 to mitigate compliance risks
- Partner with service line leaders to develop and validate Management Action Plans
- Provide regular audit and MAP updates to Compliance leadership and escalate urgent compliance concerns
- Create and maintain audit process training materials and provide auditor training and ongoing support
- Serve as a resource for Coding leaders on compliance audit questions and concerns
- Maintain coding guideline and industry-standard knowledge
- Create and maintain compliance audit records, analytical reports, issue logs, and dashboards
- Assist with onboarding compliance coding auditors and answer their questions and concerns
- Assess the compliance audit program and identify process improvement opportunities
- Maintain collaborative relationships with internal and external stakeholders
- Assist with auditor work assignments and follow up on deliverables
- Assist with annual risk assessment and work plan preparation
- Evaluate internal and operational controls related to regulatory requirements and corporate integrity and compliance
- Participate in compliance program effectiveness evaluations and other assigned projects
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
- Willingness and ability to travel long-distance or by air, not to exceed 10% travel
- Openness to innovation, including AI
- Candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require
- Must have and keep current at least one of: CPC, CCS, RHIA, or RHIT certification; CCS preferred
- CHC certification 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 and be authorized to work within the United States
Benefits
Comp & perks- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
- Professional certification relevant to the associate’s field
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility
- Remote work arrangement
- Professional development
- Reasonable accommodations for qualified individuals with disabilities