Compliance Auditor

Orthopedic Care Partners

. The Compliance Auditor supports the Orthopedic Care Partners (OCP) Compliance Program by conducting structured audits and monitoring activities to assess compliance with regulatory standards, payer policies, and OCP guidelines.

Posted 4/21/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

The Compliance Auditor supports the Orthopedic Care Partners (OCP) Compliance Program by conducting structured audits and monitoring activities to assess compliance with regulatory standards, payer policies, and OCP guidelines.
The Auditor performs coding and documentation reviews for physicians and advanced practice providers (APPs), as well as other compliance-related audits, as specified in OCP’s annual auditing and monitoring plan and as requested by the CCO.
Perform compliance-related audits identified through OCP’s annual auditing and monitoring plan or at the direction of the Chief Compliance Officer.
Identify potential compliance risks, documentation deficiencies, or coding inaccuracies.
Document audit methodologies, results, root causes, and corrective action recommendations and plans in the Healthicity compliance management system.
Present audit results to stakeholders as directed by the Chief Compliance Officer.
Develop summary reports that reflect audit activity, trends, and compliance risk areas.
Provide targeted education to physicians, providers, and staff regarding deficiencies identified during audits.
Support the development of educational materials or focused training related to audit findings.
Work collaboratively with operational leadership to ensure corrective actions are implemented.
Conduct follow-up reviews and re-audits when required to evaluate whether corrective actions are implemented and effective.
Monitor improvement trends and identify areas that may require additional oversight or education.
Escalate unresolved compliance concerns to the Chief Compliance Officer.
Demonstrate a high level of proficiency in records management and reporting within the Healthicity compliance platform.
Performs additional duties necessary to support the compliance function and under the direction of the CCO.

Requirements

What you’ll need

Professional certification, such as CPC required. (CPMA certification preferred)
Experience auditing physician or advanced practice provider documentation and coding.
Bachelor’s degree in healthcare administration, health information management, nursing, compliance, or related field (or equivalent experience).
Minimum 3 years of experience in healthcare auditing, coding, compliance, or revenue cycle within a physician practice or healthcare organization.
Working knowledge of CPT, ICD-10-CM, and HCPCS coding systems.
Understanding of medical documentation standards and payer billing requirements.

Benefits

Comp & perks

This is a remote position.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

auditingcoding reviewsdocumentation reviewscompliance auditsrecords managementreportingCPT codingICD-10-CM codingHCPCS codingcompliance risk assessment

Soft Skills

collaborationcommunicationpresentationeducationproblem-solvingattention to detailanalytical thinkingorganizational skillsstakeholder engagementtraining development

Certifications

CPCCPMA