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Compliance Auditor Analyst

$63k - $87k
Full-time

RadNet

Job Description:

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 Auditor Analyst, 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

Pay Range: USD $63,000.00 - USD $87,000.00 /Yr.
Vacancy posted a month ago
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