Ohio Licensed Compliance Auditor

Job Summary

A company is looking for a Compliance Auditor - Physician - Enterprise Risk.

Key Responsibilities

• Assist in reviewing coding, billing, and claims processing policies to develop compliance monitors and audit protocols
• Coordinate analysis of claims denial reports and operational assessments to detect billing trends and compliance issues
• Develop educational content on documentation and coding to enhance compliance understanding and competency

Required Qualifications

• CCS, CPC, RHIT, or RHIA certification required
• Two to four years of experience in healthcare operations, auditing, or coding/billing
• Knowledge of Medicare, Medicaid, and compliance regulations from OIG and CMS required
• Experience with EPIC Electronic Medical Records System preferred
• Strong analytical skills to assess auditing and monitoring reports