Pennsylvania Licensed Compliance Auditor

A company is looking for a Compliance Auditor (medical coding and billing). Key Responsibilities Perform compliance audits on medical record documentation, billing, and coding to evaluate compliance risks and recommend solutions Identify training needs from audit results and educate physicians and non-physician practitioners accordingly Analyze evidentiary data to assess the effectiveness of systems and recommend improvements based on audit findings Required Qualifications, Training, and Education High School Diploma or Equivalent (GED) required Minimum of 6 years of relevant experience required At least one coding certification required (e.g., Certified Professional Coder, Certified Risk Adjustment Coder, Registered Health Information Technician) Expert knowledge of State and Federal healthcare program regulations Experience in compliance auditing and risk assessment processes

Jun 18, 2025 - 23:30

A company is looking for a Compliance Auditor (medical coding and billing). Key Responsibilities Perform compliance audits on medical record documentation, billing, and coding to evaluate compliance risks and recommend solutions Identify training needs from audit results and educate physicians and non-physician practitioners accordingly Analyze evidentiary data to assess the effectiveness of systems and recommend improvements based on audit findings Required Qualifications, Training, and Education High School Diploma or Equivalent (GED) required Minimum of 6 years of relevant experience required At least one coding certification required (e.g., Certified Professional Coder, Certified Risk Adjustment Coder, Registered Health Information Technician) Expert knowledge of State and Federal healthcare program regulations Experience in compliance auditing and risk assessment processes