UMC Health System · 2 weeks ago
Compliance Billing & Coding Auditor
Business and Technology Center
Full-time
Onsite
Mid Level
3+ years expUMC Health System is dedicated to patient and employee satisfaction, and they are seeking a Healthcare Compliance Billing & Coding Auditor. This role involves conducting independent audits of billing and coding practices to ensure compliance with regulations and organizational policies.
Child CareHealth CareHospitalMedicalNon Profit
Responsibilities
Conduct comprehensive audits of billing and coding documentation for accuracy and compliance in both hospital and clinic settings
Identify discrepancies, potential compliance risks, and recommend corrective actions
Develop audit reports and present findings to leadership
Stay current with regulatory changes, coding guidelines (ICD-10, CPT, HCPCS), and compliance standards
Collaborate with clinical and administrative teams to implement best practices
Assist in compliance training related to billing and coding
Perform additional compliance and research-related responsibilities as needed to support organizational objectives
Qualification
Required
Associate's degree in Health Information Management, Nursing or related field
+3 years of experience in hospital and clinic compliance, billing, and coding audits
Strong knowledge of CMS regulations, HIPAA, and payer guidelines
CPC, CCS, or equivalent coding certification required
Must obtain Certified Professional Medical Auditor (CPMA) from AAPC, which demonstrates expertise in auditing, compliance, and risk-based methodologies, within 12 months of hire date
Experience with electronic health records (EHR) and audit software (i.e. Cerner, EPIC, Healthicity, Nektar)
Able to work independently and manage multiple audits simultaneously
Excellent communication and reporting skills
Ability to work autonomously while collaborating with compliance and revenue cycle teams
Preferred
Bachelor's degree
Company
UMC Health System
UMC Health System is comprised of over 4,600 team members who have made our organization “One of the Best Companies to Work for in Texas®” by Texas Monthly.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Mark Funderburk
Chief Executive Officer
Nick Skeen
Executive VP of Service Lines & COO
Recent News
2025-07-04
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