Associate Compliance Auditor

Nationwide Children's Hospital•Columbus, OH
•Hybrid

About The Position

This is a hybrid, early-career role introducing a coder to auditing and compliance, with the opportunity to grow into a Compliance Audit and Education Specialist in as little as 15 months. After a probationary period, the schedule is one day in the Near East Office Building and four days working from home. Work takes place between 6 a.m. and 7 p.m. The Associate Compliance Auditor performs foundational audit tasks, assists with documentation reviews, and learns core auditing and compliance principles. The role is intended for early-career professionals or internal candidates transitioning into compliance. Under supervision, the employee assists with billing and coding audits involving inpatient and outpatient medical records and professional and facility billing.

Requirements

  • High school diploma or equivalent.
  • Certified Professional Coder (CPC), CCS-P, or similar coding certification.
  • One year of professional coding experience.
  • Familiarity with Microsoft Office Suite.
  • Strong written, verbal, and interpersonal communication skills to work collaboratively with team members and hospital staff at all levels.
  • Comfortable sharing information and willing to develop presentation skills.
  • Ability to work under guidance while developing independence in tasks.
  • Commitment to confidentiality and responsible handling of sensitive information.
  • High ethical standards.
  • Familiarity with coding guidelines and willingness to gain experience in auditing and hospital coding.
  • Working knowledge of Medicaid coding regulations.
  • Ability to multitask in a stressful environment.

Nice To Haves

  • Enrollment in or completion of an associate’s degree in health information management, healthcare administration, or a related field.
  • Professional coding experience in a pediatric healthcare setting.

Responsibilities

  • Assist with billing and coding audits under supervision, reviewing inpatient and outpatient medical records for the appropriateness of documentation, procedure coding, and diagnosis coding.
  • Review medical records for completeness and accuracy.
  • Support audit processes, documentation, and data entry.
  • Help prepare audit reports and summaries.
  • Participate in compliance education sessions and training.
  • Maintain confidentiality and adhere to compliance standards.
  • Shadow others to learn audit processes, methodologies, and regulatory frameworks.
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