Coding Compliance Auditor

Overview Opportunities for you! Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Free Continuing Education and certification Tuition reimbursement, education programs and 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. Responsibilities The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community Health System’s mission to better the lives of all those we serve. As a Coding Compliance Auditor, you will be responsible for conducting coding and documentation audits to ensure accurate code assignment, appropriate billing, integrity of the medical record, and compliance with federal and state healthcare program requirements.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. Qualifications EducationAssociate's Degree in Business, Information Systems, Nursing, Health Care, or a related field requiredBachelor's Degree in Business, Information Systems, Nursing, Health Care, or a related field preferredExperienceExperience 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 requiredKnowledge of federal, state, and private payer guidelines requiredOne of the following is required:5 years of healthcare coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCS, if qualifying with an Associate’s Degree3 years of healthcare coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCS, if qualifying with a Bachelor’s DegreeEpic experience preferredExperience with 3M or Optum is preferredExperience completing a formal validation report after completing audits preferred. Licenses and Certifications:One of the following is required:CCS - Certified Coding SpecialistCCS-P - Certified Coding Specialist- Physician-basedCMAS - Certified Medical Audit SpecialistCPMA - Certified Professional Medical AuditorCPC - Certified Professional Coder Additional certifications preferred:RHIA - Registered Health Information AdministratorRHIT - Registered Health Information TechnicianTwo or more certifications preferred Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.Job SummaryRequisition ID: 2026-R3638Category: ProfessionalShift Type: Full-TimeShift: Exempt 8 HourShift Schedule: DaysFacility: Community Medical Centers - Corporate Offices (CMC)Location: US-CA-FresnoPosted Date: 7/7/2026Min: USD $44.52/Hr.Max: USD $56.65/Hr.