Healthcare Compliance Audit Analyst, CPC, CCS-P, CPMA
Posted 2026-05-06
Remote, USA
Full-time
Immediate Start
- Job Description:
- Conduct physician/provider and facility documentation audits
- Ensures accuracy of data entered into the CD Internal Audit Database and prepares reports for audited providers, department leadership, and organization leadership
- Analyze audit data and provides summary feedback to clinic and billing staff, making recommendations for improvement
- Works with the billing and coding departments to determine charge corrections and refunds resulting from compliance audits
- Works closely with the billing department to help minimize denial issues so that appropriate reimbursements are achieved
- Receives and responds to audit, documentation, and coding review requests from the billing department
- Performs research for numerous billing and coding scenarios
- Provide input in the development and improvement of procedures used to complete the audit function
- Assist in conducting formal/informal education sessions for the purpose of educating and training physicians, non-physician providers, and other staff
- Identify additional opportunities to improve education of physicians, non-physician providers and staff
- Working with the billing and coding departments, prepare and produce billing/coding/documentation communication for use as guidance documents, website content, newsletter content, education content, and other communication channels
- Develop materials for use in education and communication derived from audit findings for feedback to physicians, department billing staff, and other compliance staff
- Based on types of questions/issues received, identify education/awareness opportunities and guidance topics
- Requirements:
- Experience with using and navigating through an electronic medical record system
- Knowledge of state, federal, local, and payer-specific regulations and policies pertaining to documentation, coding, and billing is required
- Demonstrated capacity to work independently in an organized, detailed manner while maintaining a collaborative team environment is required
- Ability to think abstractly and concretely required
- Ability to develop reports, presentations, and spreadsheets required
- Strong computer skills including the ability to effectively use software applications such as Microsoft Word, Excel, Outlook, PowerPoint, Access, and Internet Explorer is required
- Outstanding verbal and written communication skills is required
- Experience in handling complex organizational projects; and an excellent problem identification and solution skill to address difficult, complex issues is required
- Ability to gain the trust and confidence of the providers, compliance team and billing staff
- Benefits:
- Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans
- HSA / FSA
- 401(k) matching
- an Employee Assistance Program (EAP) and more