Coding Compliance Auditor
communitymedical· Professional
About this role
Overview
Opportunities for you!
- Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
- Free Continuing Education and certification
- Tuition reimbursement, education programs and scholarships
- Vacation time starts building on Day 1, and builds with your seniority
- Free money toward retirement with a 403(b) and matching contributions
- Great food options with on-demand ordering
- Free parking and electric charging
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.
Responsibilities
The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community Health System’s mission to better the lives of all those we serve. As a Coding Compliance Auditor, you will be responsible for conducting coding and documentation audits to ensure accurate code assignment, appropriate billing, integrity of the medical record, and compliance with federal and state healthcare program requirements.The role requires a highly confident coder who can audit both facility coding and professional fees for partners, as well as audit other coders and physicians.
Qualifications
Education- Associate's Degree in Business, Information Systems, Nursing, Health Care, or a related field required
- Bachelor's Degree in Business, Information Systems, Nursing, Health Care, or a related field preferred
- Experience performing medical record and billing audits/reviews, including clinical documentation, medical terminology, codes (CPT, HCPCS, ICD-10-CM, and revenue), and reviews for charge and reimbursement accuracy required
- Knowledge of federal, state, and private payer guidelines required
- 5 years of healthcare coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCS, if qualifying with an Associate’s Degree
- 3 years of healthcare coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCS, if qualifying with a Bachelor’s Degree
- Epic experience preferred
- Experience with 3M or Optum is preferred
- Experience completing a formal validation report after completing audits preferred.
- One of the following is required:
- CCS - Certified Coding Specialist
- CCS-P - Certified Coding Specialist- Physician-based
- CMAS - Certified Medical Audit Specialist
- CPMA - Certified Professional Medical Auditor
- CPC - Certified Professional Coder
- Additional certifications preferred:
- RHIA - Registered Health Information Administrator
- RHIT - Registered Health Information Technician
- Two or more certifications preferred
Disclaimers
• Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.
Frequently Asked Questions
What is the salary for the Coding Compliance Auditor role at communitymedical?
The listed salary for this Coding Compliance Auditor position at communitymedical is USD 42–54/yr. This is an OTHER role.
Where is the Coding Compliance Auditor position at communitymedical located?
This Coding Compliance Auditor role at communitymedical is based in Fresno, CA, US. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Coding Compliance Auditor role at communitymedical full-time or part-time?
This is listed as a OTHER position. It is posted as a Coding Compliance Auditor role in the Professional department at communitymedical.
Which team or department does the Coding Compliance Auditor at communitymedical belong to?
This Coding Compliance Auditor position is part of the Professional department at communitymedical. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Coding Compliance Auditor position at communitymedical?
Click the "Apply Now" button on this page. You will be redirected to communitymedical's official application portal hosted on icims where you can submit your application directly.
When was the Coding Compliance Auditor job at communitymedical posted?
This Coding Compliance Auditor position at communitymedical was posted on Jun 4, 2026. Apply as soon as possible — early applications are often reviewed first.
Coding Compliance Auditor
communitymedical · 💰 USD 42–54/yr
You'll be redirected to communitymedical's official application page on icims.