Internal Auditor

Sutter Health System Office-Valley Coding Audit LeadLeads inpatient coding, billing compliance, and revenue integrity audits to evaluate regulatory compliance, identify risks, and improve operational effectiveness. Provides subject matter expertise and guidance to coding, CDI, revenue cycle, and operational teams while managing audits from planning through reporting in alignment with Sutter Health values and professional auditing standards.Key Responsibilities:Lead inpatient coding, billing compliance, and revenue integrity audits.Participate in annual risk assessments and audit plan development.Manage audit engagements, including scope, timelines, budgets, and reporting.Supervise and develop audit staff.Provide guidance to coding, CDI, compliance, and revenue cycle teams.Evaluate coding with regulatory, payer, and organizational requirements.Identify coding, documentation, and reimbursement risks and recommend improvements.Prepare audit reports and communicate results to leadership and stakeholders.Support continuous improvement of audit methodologies, workflows, and tools.Knowledge & Credentials:Extensive knowledge of hospital rules, regulations, coding and billing compliance requirements, NCDs, LCDs, and reimbursement methodologies.Advanced expertise in ICD-10-CM/PCS, CPT, and HCPCS coding systems.Ability to interpret regulatory guidance and provide accurate recommendations to operational, clinical, and revenue cycle teams.Required: Certified Coding Specialist (CCS). Preferred: RHIA, RHIT, CDIP, and/or CCDS credential.Job Shift: DaysSchedule: Full TimeDays of the Week: Monday - FridayWeekend Requirements: NoneBenefits: YesUnions: NoPosition Status: ExemptWeekly Hours: 40Employee Status: RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.Pay Range is $117,436.80 to $176,155.20 / annual salary. Colorado, Florida, Georgia, Illinois, Michigan, Minnesota, Nevada, North Carolina, Ohio, Oregon, Pennsylvania, Texas, Virginia Pay Range is $105,705.60 to $158,558.40 / annual salary. Arizona, Arkansas, Idaho, Louisiana, Missouri, Montana, South Carolina, Tennessee, Utah Pay Range is $93,953.60 to $140,940.80 / annual salary. California, New Jersey, Washington Pay Range is $117,436.80 to $176,155.20 / annual salary.The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program.