Central Health

Compliance Coding Auditor Supervisor

Req No.
2025-9897
Company
CommUnityCare Health Centers
Name
Kramer
Address
2115 Kramer Lane, Suite 100
City
Austin
State
TX
Type
Regular Full-Time

Overview

This is a remote position.  Individuals in this position may work at an approved off-site location; however, they may be required to occasionally visit an on-site location in Austin, Texas.

 

The Compliance Coding Auditor Supervisor leads a team of compliance coding auditors and is responsible for overseeing coding audit operations to ensure regulatory compliance and accurate documentation practices across
the organization. This individual ensures proper application of CPT, CDT, HCPCS, ICD‐10 and applicable FQHC coding rules and provides education, mentorship, and performance management to audit staff. The Supervisor also
serves as a subject matter expert, supports provider education efforts and contributes to system-wide compliance initiatives.

Responsibilities

  • Supervise and support a team of Compliance Coding Auditors, including assigning audits, monitoring workloads,
    and managing performance.
  • Conduct and review prospective and retrospective coding audits (i.e. baseline, focused, monitoring, and periodic).
  • Ensure alignment of coding audits with FQHC, Medicare, Medicaid, and private payer regulations.
  • Train and mentor audit team members in auditing standards, coding guidelines, and audit methodologies.
  • Identify coding discrepancies and formulate suggestions for improvement.
  • Review and validate audit findings to ensure consistency and accuracy before results are shared with providers or
    leadership.
  • Collaborate with the Office of the CMO and provider leadership to identify coding education opportunities.
  • Deliver audit results and actionable feedback to providers, ancillary staff, and leadership.
  • Develop and deliver education and training sessions on coding compliance to clinical and billing teams.
  • Participate in investigations related to coding and documentation practices.
  • Stay current on coding, billing, and regulatory changes and update the team and organization as appropriate.
  • Support the VP of Compliance in developing annual audit plans, dashboards, and compliance reporting tools.
  • Oversee coding education tools, annual coding updates, and distribution of materials.
  • Assist with recruitment, onboarding, and training of new audit staff.
  • Participate in special projects, including EHR optimization, compliance risk assessments, and policy updates.

Qualifications

High School Diploma or equivalent (higher degree accepted) - Required

Associates Degree (higher degree accepted) - Preferred

 

5 years of healthcare experience - Required

4 years of procedural and diagnostic coding experience - Required

1 year of dental coding - Preferred

Experience with Epic EHR and EDR systems - Preferred

Experience coding in an outpatient care setting - Preferred

 

Certified Coder-AHIMA or AAPC - AAPC Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS)

certification through American Health Information Management Association (AHIMA) - Required

 

AAPC Certified Professional Medical Auditor (CPMA) or AAPC Certified Documentation Expert Outpatient (CDEO) - Preferred

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