Compliance Medical Records Auditor

Responsibilities

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as a Compliance Medical Records Auditor, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.

You Will:

• Independently conducts and documents compliance audits of medical records, coding, and billing in accordance with regulatory requirements, internal policies, and audit standards.
• Analyzes audit results to identify trends, root causes, and systemic risks; develops recommendations for corrective action and process improvement.
• Interprets federal and state healthcare regulations, payer policies, and internal compliance standards to ensure audit methodology and findings align with regulatory expectations.
• Develops audit tools and evaluation criteria for new or evolving compliance initiatives.
• Prepares comprehensive audit reports for leadership, including analyses, findings, risk implications, and recommended actions.
• Advises operational leaders, coders, and clinical teams on compliance risks, documentation requirements, and regulatory interpretations.
• Maintains and enhances the compliance audit database, ensuring accuracy, integrity, and accessibility of audit documentation.
• Collaborates with Compliance leadership to design and implement monitoring programs, training initiatives, and policy updates.
• Participates in compliance investigations, risk assessments, and special projects requiring analytical expertise.
• Performs other duties and projects as assigned.

You Are:

• Genuinely passionate about customer service and exercise sound judgement and an ability to remain professional in all situations
• Able to demonstrate high level of attention to detail, excellent organizational skills and have the ability to multitask
• Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy providing world class customer service

To Ensure Success In This Role, You Must Have:

• CPC, CCS-P, RCC, RHIT/A, or equivalent by the American Academy of Professional Coders Certified Professional coder required.

• 5+ years of experience in healthcare coding, billing, auditing, and/or compliance preferred.
• Associate's or Bachelor's degree preferred; equivalent experience in healthcare compliance, auditing, or coding accepted.
• Advanced knowledge of CPT, ICD-10, HCPCS, and payer reimbursement methodologies.
• Demonstrated ability to interpret regulations, analyze complex data, and exercise independent judgment.
• Proficiency in Microsoft Excel, Word, and audit management tools.
• Strong written and verbal communication skills, including the ability to prepare analytical reports and present findings to leadership.
• Ability to evaluate information, draw conclusions, and make recommendations based on regulatory standards and audit evidence.
• Knowledge of compliance program requirements, healthcare regulatory frameworks, and audit theory.

• Experience working with AI tools is a plus.

We Offer:

• Comprehensive Medical, Dental and Vision coverages.
• Health Savings Accounts with employer funding.
• Wellness dollars
• 401(k) Employer Match
• Free services at any of our imaging centers for you and your immediate family.

Pay Range: $63,000.00 - $87,000.00 per year