Compliance Auditor & Educator

Role Overview: This position involves conducting independent audits of professional fee coding to ensure accuracy and compliance with federal regulations. The role includes reviewing medical records, verifying appropriate coding in line with CPT, ICD-10-CM, and HCPCS standards, and preparing detailed reports of audit findings. Key Responsibilities Perform audits to assess medical record documentation supporting clinician codes.Communicate audit results to physicians and staff, providing guidance and references.Research compliance and coding issues to stay current with regulations.Assist in creating and updating coding reference materials and deliver ICD-10-CM and EMR documentation training to physicians.Engage with management on trends and issues, maintaining accurate records of work activities. Qualifications & Skills Associate's or Bachelor's degree in healthcare or related field, with relevant experience if applicable.Certifications such as Certified Professional Coder (CPC) and Certified Medical Auditor (CPMA) preferred.Minimum of 5 years in coding compliance/auditing or 7 years in coding/billing in outpatient settings.Extensive knowledge of Medicare, Medicaid, and federal documentation and coding regulations.Strong attention to detail, communication skills, and ability to work independently.Proficiency in Microsoft Office Suite and maintaining confidentiality. Additional Information: The role requires a high level of accuracy, objectivity, and adaptability to change, with a focus on ongoing education and professional development to ensure compliance.