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Compliance Auditor

Company: VirtualVocations
Location: Vista
Posted on: May 7, 2025

Job Description:

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

Assist in reviewing coding, billing, and claims processing policies to develop compliance monitors and audit protocols
Coordinate the analysis of hospital claims denial reports to detect billing trends and potential compliance issues
Develop educational content on compliance standards and prepare communications for stakeholder engagement

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
Experience with EPIC Electronic Medical Records System preferred
Strong analytic skills to identify compliance risks and prioritize recommendations

Keywords: VirtualVocations, La Puente , Compliance Auditor, Accounting, Auditing , Vista, California

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