Compliance Billing & Coding Auditor

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Job Summary
The Healthcare Compliance Billing & Coding Auditor is responsible for performing independent audits of billing and coding practices across hospital departments and clinic providers to ensure compliance with organizational policies, federal and state regulations, and payer requirements.

Reports to
Chief Compliance Officer

Job Specific Responsibilities
1.Conduct comprehensive audits of billing and coding documentation for accuracy and compliance in both hospital and clinic settings.
2. Identify discrepancies, potential compliance risks, and recommend corrective actions.
3. Develop audit reports and present findings to leadership.
4. Stay current with regulatory changes, coding guidelines (ICD-10, CPT, HCPCS), and compliance standards.
5. Collaborate with clinical and administr...