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Senior Coding Compliance Auditor – Outpatient
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 findings and implement actionable recommendations. Proficient in developing training materials and maintaining collaborative relationships with stakeholders.
Highest-signal resume keywords
Compliance AuditingICD-10 Coding KnowledgeCPC CertificationEpic 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
Auditing StandardsManagement Action PlansCoding Compliance AuditsData AnalysisProcess Improvement
Soft Skills
CoachingMentoringCollaborationInquisitivenessCommunication
Tools & Technologies
EpicCernerMeditechMicrosoft WordMicrosoft Excel
Certifications & Qualifications
CPCCCSRHIARHITCHC
Industry Keywords
HealthcareAcute CodingCompliance StandardsAuditingRisk Assessment
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 audit reports
- Establish and maintain an Audit the Auditor quality program
- Coach and mentor new and existing coding auditors
- Analyze audit findings, discrepancies, trends, and patterns and develop actionable recommendations
- Partner with service line leaders to develop and validate Management Action Plans
- Provide audit, MAP, and compliance updates to Compliance leadership and escalate concerns
- Create and maintain audit process training materials and provide auditor training and support
- Serve as a resource for Coding leaders on compliance audit questions and concerns
- Maintain compliance audit records, analytical reports, issue logs, and dashboards
- Assist with onboarding and work assignment of 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 compliance
- Maintain collaborative relationships with internal and external stakeholders
- 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
- Long-distance or air travel not exceeding 10%
- Inquisitiveness and openness 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
- Candidates must maintain at least one of the following certifications: 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 benefits package including healthcare, time off, retirement, and well-being programs
- Professional development and relevant professional certification for each associate
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility
- Remote work arrangement