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4 дня назад

Compliance Auditor

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Мэтч & Сопровод

Для мэтча с этой вакансией нужен Plus

Описание вакансии

Текст:
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TL;DR
Compliance Auditor (Healthcare Compliance): Conducting medical record, coding, documentation, and regulatory audits for healthcare clients with an accent on compliance analysis, corrective action planning, and client reporting. Focus on interpreting complex CMS, AMA, OIG, NCCI, and payer guidance, presenting defensible findings, and delivering provider education and compliance recommendations.

Company

hirify.global provides valuation, strategic, and compliance services to healthcare organizations, investors, and private equity firms.

What you will do

  • Conduct detailed medical record, documentation, coding, billing, reimbursement, and compliance audits.
  • Apply CMS, AMA, OIG, NCCI, third-party payer, and other regulatory guidance to audit findings.
  • Prepare audit reports, executive summaries, compliance recommendations, and corrective action plans.
  • Present findings and recommendations to providers, administrators, attorneys, executives, clients, and internal stakeholders.
  • Deliver education and training on documentation, coding, and compliance requirements.
  • Support quality assurance, peer review, audit methodology development, project management, and client relationships.

Requirements

  • Minimum 3 years of healthcare auditing, documentation review, compliance, regulatory, or related healthcare experience.
  • Experience reviewing medical records and auditing professional coding across specialties and service settings.
  • Advanced knowledge of physician documentation, E/M coding, healthcare reimbursement, compliance auditing, and regulatory requirements.
  • Strong analytical, writing, communication, organization, project management, and client-service skills.
  • High school diploma required; bachelor's degree preferred.
  • Required certifications: Certified Professional Medical Auditor (CPMA) and Certified Professional Coder (CPC).

Nice to have

  • Experience in consulting or a client-service environment.
  • Certifications such as CHC, CPCO, CRC, RHIA, RHIT, or COC.
  • Familiarity with AI-powered auditing and compliance tools.

Culture & Benefits

  • Work with a multidisciplinary team serving a broad national healthcare client base.
  • Support client engagements and special projects across physician practices, hospitals, health systems, academic medical centers, law firms, and private equity organizations.
  • Operate independently while maintaining productivity, quality, deadlines, and professional client relationships.

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