Coding Compliance Auditor
Job Location:
Fresno, CA - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
Opportunities for you!
- Consecutively recognized as a top employer by Forbes and in 2025 by Newsweek
- Free Continuing Education and certification
- Tuition reimbursement educationprogramsand scholarships
- Vacation time starts building on Day 1 and builds with your seniority
- Free money toward retirement with a 403(b) and matching contributions
- Great food options with on-demand ordering
- Free parking and electric charging
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.
The role requires a highly confident coder who can audit both facility coding and professional fees for partners as well as audit other coders and physicians.
- Associates Degree in Business Information Systems Nursing Health Care or a related field required
- Bachelors Degree in Business Information Systems Nursing Health Care or a related field preferred
- Experience performing medical record and billing audits/reviews including clinical documentation medical terminology codes (CPT HCPCS ICD-10-CM and revenue) and reviews for charge and reimbursement accuracy required
- Knowledge of federal state and private payer guidelines required
- 5 years of healthcare coding experience with comprehensive knowledge of ICD-10 CPT and HCPCS if qualifying with an Associates Degree
- 3 years of healthcare coding experience with comprehensive knowledge of ICD-10 CPT and HCPCS if qualifying with a Bachelors Degree
- Epic experience preferred
- Experience with 3M or Optum is preferred
- Experience completing a formal validation report after completing audits preferred.
- One of the following is required:
- CCS - Certified Coding Specialist
- CCS-P - Certified Coding Specialist- Physician-based
- CMAS - Certified Medical Audit Specialist
- CPMA - Certified Professional Medical Auditor
- CPC - Certified Professional Coder
- Additional certifications preferred:
- RHIA - Registered Health Information Administrator
- RHIT - Registered Health Information Technician
- Two or more certifications preferred
Pay ranges listed are an estimate and subject to change.
If any bonuses are noted they are only applicable to external hires meeting criteria.
Required Experience:
IC
About Company
Community Health System provides a world of opportunities for professional growth and personal advancement. You love what you do, now love where you do it!
