Billing Manager

Remote Billing Compliance Senior AuditorEmplify Health is partnering with one of the Midwest's premier integrated healthcare systems, recognized nationally for clinical excellence, innovation, and its commitment to quality patient care.We are seeking a Billing Compliance Senior Auditor to join a highly respected Corporate Compliance team in a contract-to-hire capacity. This position offers a unique opportunity to work alongside compliance leadership, revenue cycle teams, coding professionals, and operational stakeholders to ensure billing, coding, and documentation practices meet regulatory and payer requirements across a large, complex healthcare organization.This role is ideal for an experienced healthcare compliance, coding audit, revenue integrity, or billing compliance professional seeking a highly visible position with long-term career growth potential.The Billing Compliance Senior Auditor supports the organization's Corporate Compliance Program by conducting audits, investigations, monitoring activities, and educational initiatives related to coding, billing, documentation, and reimbursement compliance.The successful candidate will apply healthcare regulatory knowledge, payer requirements, coding guidelines, and compliance standards to identify risks, improve processes, and support organizational compliance efforts.Key Responsibilities:Conduct retrospective and prospective coding, billing, and documentation audits across physician practices, outpatient departments, and hospital-based servicesReview medical record documentation, billing records, charge capture data, and reimbursement activity to ensure compliance with payer and regulatory requirementsAudit ICD-10-CM, CPT, HCPCS, and related coding methodologies for accuracy and complianceAnalyze trends, identify compliance risks, and communicate findings to leadership and operational teamsAssist with internal investigations related to billing, coding, and reimbursement concernsEvaluate adherence to Medicare, Medicaid, commercial payer, and organizational billing requirementsDevelop audit reports, corrective action recommendations, and compliance monitoring plansCollaborate with revenue cycle, coding, provider, and operational leadership teams to improve compliance performanceProvide education and guidance related to coding, documentation, and billing compliance regulationsSupport ongoing compliance initiatives and organizational risk assessmentsRequired Qualifications:Bachelor's degree in Health Information Management, Healthcare Administration, Business, Nursing, Compliance, or related fieldMinimum 5 years of experience in healthcare billing compliance, coding audit, revenue integrity, corporate compliance, or healthcare auditingStrong knowledge of: ICD-10-CM, CPT, HCPCS, Medicare and Medicaid regulations, commercial payer billing requirements, healthcare reimbursement methodologiesExperience conducting coding, billing, and documentation auditsStrong analytical, investigative, and reporting skillsAbility to interpret healthcare regulations and apply them to operational processesPreferred Qualifications:CPC, CCS, RHIA, RHIT, CHC, CHC-A, or similar certificationExperience working within a large health system, academic medical center, or integrated delivery networkEpic experience preferredRevenue Integrity, Compliance, Internal Audit, or Corporate Compliance experienceExperience presenting audit findings and compliance education to providers and leadership teamsSchedule & Work Environment:Contract-to-Hire opportunityHybrid work environmentMonday-Friday business hoursLimited travel between local healthcare facilities as neededCollaborative and highly visible compliance roleWhy Consider This Opportunity?Opportunity to join a nationally recognized healthcare organizationContract-to-hire pathway with long-term career growthHigh-impact role supporting enterprise-wide compliance initiativesExposure to executive leadership, revenue cycle, coding, and compliance functionsStable healthcare environment with strong organizational supportExcellent opportunity for experienced auditors, compliance professionals, and revenue integrity specialists looking to advance their careersBenefits Through Connect Search:Weekly direct depositMedical, dental, and vision insurance options401(k) programDedicated recruiter supportCredentialing and onboarding assistanceAccess to additional healthcare opportunities nationwideApply today to learn more about this exciting Billing Compliance Senior Auditor opportunity with a leading Midwest healthcare organization. Connect Search