Compliance Auditor

About Our Client

The organization is a non-profit provider of developmental, behavioral health, and education services. It supports nearly 40,000 individuals and families annually across 12 states with a workforce of over 8,000 employees. The organization maintains a strict zero-tolerance policy for abuse and is committed to diversity and inclusivity.

About the Opportunity

The Compliance Auditor role is responsible for ensuring that documentation and processes comply with relevant laws, regulations, policies, and payer requirements. This position plays a key role in identifying compliance issues and supporting audit planning to uphold organizational standards and regulatory adherence.

Responsibilities

• Conduct audits to verify accuracy of documentation and processes
• Identify compliance concerns and trends to aid in audit planning
• Perform focused audits based on data analytics
• Review service documentation retrospectively to confirm claims meet payer requirements
• Collect, analyze, and document information to support audit findings
• Summarize findings in formal reports with conclusions and recommendations
• Monitor coding and documentation accuracy
• Provide training on documentation guidelines and accurate coding
• Stay updated on healthcare compliance, coding updates, and regulatory changes
• Recommend policy or process changes as needed

Requirements

• Bachelor’s Degree
• Experience providing services in a healthcare-related field
• Experience auditing charts both in the field and electronically
• Experience with RATS-STATS or similar sampling software preferred
• Ability to prioritize and complete tasks effectively and timely
• Technical and database management skills

Pay

Salary range: $26.72 to $29.26 per hour, depending on experience

Benefits & Perks

• Comprehensive medical, dental, and vision coverage
• Retirement plan with pre-tax and Roth options
• Paid maternity leave