Sr Compliance Auditor

• →High school diploma or equivalent is required; associate or bachelor’s degree in a related field is preferred. 

• →7+ years of anesthesia coding experience or an equivalent combination of education and coding experience. Ideal candidate has experience leading or overseeing audit programs in whole or in part. 

• →Previous auditing experience required. 

• →Certification in medical coding (Certified Professional Coder or Certified Coding Specialist) required. 

• →Advanced certification as a Certified Anesthesia and Pain Management Coder (CANPC) preferred. 

• →Certified Professional Medical Auditor (CPMA) or Certified Healthcare Auditor (CHA) preferred. 

• →Expert knowledge of CPT, ASA, and ICD-10 coding, as well as managed care, Medicare, Medicaid, and workers’ compensation billing and coding rules, regulations, and guidance applicable to anesthesia. 

• →Expert understanding of auditing methodologies and compliance frameworks. 

• →Strong written and verbal communication skills, including high-level report writing. 

• →Exceptional critical thinking, problem-solving, and data analysis skills to identify subtle discrepancies and complex coding patterns. 

• →Advanced research skills in gathering, researching, and reporting information. 

• →Demonstrates strong time management, prioritization, and organizational skills to manage multiple projects and meet deadlines. 

• →Ability to independently investigate, analyze, and resolve complex or non-routine issues. 

• →Proven ability to lead projects, mentor staff, collaborate with diverse departments (coding, clinical, and revenue cycle), and communicate effectively with staff, providers, leadership, and stakeholders at all levels of the organization. 

• →Working knowledge of computers and the ability to use word-processing, spreadsheets, and data-based programs. 

• →Maintains high attention to detail and accuracy in all work products. 

• →Professional demeanor with the ability to work effectively with diverse personalities and in cross-functional environments. 

*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

• →Occasional Standing 

• →Occasional Walking 

• →Frequent Sitting 

• →Frequent hand, finger movement 

• →Use office equipment (in office or remote)  

• →Communicate verbally and in writing