Compliance Auditor

SouthEast Alaska Regional Health Consortium (SEARHC)

Compliance Auditor verifying healthcare coding and billing compliance for SEARHC. Conducting audits, analyzing data, and preparing reports while collaborating with the compliance team.

Posted 5/1/2026full-timeAlaska, Washington • 🇺🇸 United StatesMid-LevelSenior💰 $4,769 - $6,719 per hourWebsite

About the role

Key responsibilities & impact

Ensure SEARHC meets federal and state regulations and internal policies in regard to healthcare coding, documentation, and billing practices
Review health records to verify coding and clinical documentation meets applicable coding and billing requirements, Medicare/Medicaid regulations, federal and state laws, and SEARHC policy
Conduct Audits: Review health record documentation, claims, coding, policies and processes to identify compliance or non-compliance with SEARHC policies, state and federal laws and regulation, Medicare/Medicaid regulations, and national coding standards
Analyze Data: Examine data to identify patterns and trends for compliance or non-compliance
Identify Risk: Analyze audit results, data, policies, and processes to assess risk
Develop Audit Plans: Create audits based on risk assessments, billing practices, new services, Medicare/Medicaid risk areas, Medicare/Medicaid audits, and RAC and PERM audits
Prepare Reports: Document audit findings and recommendations
Present reports to the Compliance Director, Chief Legal Officer, Division Vice President, Compliance Committee and Accreditation Governing Body
Training and Education: Prepare and provide training and education to staff in response to audit findings, and staff inquiries
Assist the Compliance Director as needed
Work closely with legal counsel when interpreting billing laws and regulations
Receive and investigate compliance and HIPAA complaints during absence of the Compliance Director.

Requirements

What you’ll need

Bachelor’s or AA degree, preferably in health-related field preferred
College coursework in medical terminology, anatomy, and physiology
Certification as Professional Coder, Coding Specialist, Inpatient/Outpatient Coder
Minimum of three years’ compliance auditing or health records coding in a healthcare entity
Knowledge of Healthcare compliance, health care coding and billing process, medical coding classification (CPT, ICD, HCPCS) rules, Medicare/Medicaid documentation rules, State and Federal medical record requirements and guidelines
Medical terminology
skills in Writing reports, preparing training and education presentations, effective communication, problem-solving, reading and interpreting laws and regulations
Ability to Audit health records for documentation, coding, and billing purposes; investigate compliance concerns; prepare written reports for audits; meet deadlines; understand compliance and regulatory issues; use effective training and communication skills; listen and understand; resolve conflict; analyze data; transform data into meaningful reports; work under pressure; multitask; and function independently.

Benefits

Comp & perks

retirement
paid time off
paid parental leave
health insurance
dental and vision benefits
life insurance
long and short-term disability

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

healthcare codingdocumentationbilling practicescompliance auditingmedical coding classificationCPTICDHCPCSdata analysisrisk assessment

Soft Skills

effective communicationproblem-solvingwriting reportstraining and educationconflict resolutionmultitaskingindependent functioninglistening skillsdeadline managementanalytical skills

Certifications

Professional CoderCoding SpecialistInpatient CoderOutpatient Coder