Revenue Cycle Compliance Auditor

The Revenue Cycle Compliance Auditor plays a vital role in strengthening healthcare compliance, billing accuracy, and risk management across clinical and hospital services. In this role, you will independently conduct comprehensive audits of medical records, coding practices, billing activities, and clinical documentation to ensure alignment with regulatory requirements and organizational policies. You will identify compliance risks, investigate revenue cycle issues, and translate audit findings into actionable recommendations that improve operational performance and financial accuracy. Working closely with coding professionals, billing teams, physicians, and compliance leadership, you will also deliver targeted education to promote consistent documentation and coding standards. This opportunity is ideal for a detail-oriented healthcare compliance professional who combines technical coding expertise with analytical thinking, clear communication, and a commitment to continuous improvement.

• Education: Associate's degree or technical degree, or an equivalent combination of education and relevant experience, is required. A bachelor's degree is preferred.

• Healthcare Coding Experience: At least five years of experience in healthcare coding across inpatient, outpatient, rural healthcare, and/or professional fee services is required.

• Auditing Experience: Three or more years of experience auditing clinic and/or facility revenue cycle processes is preferred.

• Required Certification: One of the following credentials is required: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Certified Coding Specialist–Physician (CCS-P).

• Preferred Certifications: Additional relevant credentials are preferred, including Certified Professional Medical Auditor (CPMA), Certified Evaluation and Management Auditor (CEMA), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Healthcare Compliance (as applicable to the CPC credential listed in the original posting), Certified E/M Coder (CEMC), Certified Documentation Improvement Practitioner (CDIP), or Certified Clinical Documentation Specialist (CCDS).

• Technical Knowledge: Strong understanding of medical record documentation, healthcare billing compliance, medical necessity, charge capture, denials, and applicable coding guidelines for inpatient, outpatient, and professional services.

• Analytical Skills: Ability to identify trends, assess compliance risks, quantify audit findings, investigate discrepancies, and develop practical corrective recommendations.

• Communication Skills: Strong written and verbal communication skills, with the ability to explain complex coding and documentation requirements clearly and prepare comprehensive audit reports.

• Training and Education: Ability to develop and deliver educational sessions that help healthcare professionals improve coding accuracy and documentation practices.

• Organization and Independence: Ability to manage audits independently, prioritize assignments, maintain accurate records, and deliver high-quality work in a structured compliance environment.

• Collaboration and Continuous Improvement: Strong interpersonal skills and a collaborative approach to working with clinical, administrative, billing, coding, and compliance teams.

• Organizational Requirements: Must meet applicable employment requirements, including required vaccinations where applicable, subject to available medical and religious exemptions. Employment eligibility verification requirements also apply.