Hiring Compliance Auditor

Role & responsibilities

• 5 years of compliance experience, including 3+ years of experience in medical coding auditing required
• CPMA Certification from AAPC is mandatory
• Proficient in Excel; i.e. pivot tables, lookups, advanced formulas
• Strong knowledge of compliance programs and systems
• Ability to prioritize work and exercise sound judgment
• Ability to effectively manage multiple tasks and projects

Strong attention to detail, analytical thinking, and organizational skills

Preferred candidate profile

• Perform regular and ad hoc billing and coding audits and analyses
• Prepares written reports of audit results, including recommendations for improvements and in compliance with state and federal laws and regulations
• Works with audit tools and in accordance with related policies and procedures for the compliance program
• Creates and updates compliance reports and metrics in a timely manner

The Compliance Auditor performs internal compliance audits and supports external audits as necessary. This includes reviewing records, reports, software, and any other relevant programs and related activities. Following an audit, the Compliance Auditor creates an audit report with recommendations regarding changes to procedures or practices that are not in compliance with stated regulations and helps to implement a plan to address such changes. The auditor monitors the corrective action plan to ensure that the company makes necessary changes.