Professional Billing Compliance Auditor

Job Description:

Professional Billing Compliance Auditor (Physician Billing)

Bring your compliance expertise to a role that helps protect patients, caregivers, and the integrity of a complex healthcare system. As a Senior Compliance Consultant, you will partner with leaders across the organization to identify, assess, and address medium-complexity compliance risks, with a strong focus on physician billing and reimbursement. You’ll translate risk assessment findings into clear, actionable recommendations, support corrective action planning, and deliver education that strengthens a culture of compliance and ethical decision-making.

What you’ll bring

• Extensive knowledge of physician billing within a hospital system.
• Certified Professional Coder (CPC) national professional coding certification (highly preferred).
• 3+ years of experience in coding and reimbursement (highly preferred).
• Working knowledge of healthcare regulations and the ability to apply compliance program principles in day-to-day work.
• Strong communication skills (written, verbal, and interpersonal) and the discretion to handle confidential matters with sound judgment.
• Proven ability to prioritize multiple assignments, collaborate across teams, and solve problems in a fast-changing environment.

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Vermont, Washington.

Work Schedule

• Remote Position – Position requires availability during core business hours
• Core business hours: Monday–Friday, 8:00 a.m. – 5:00 p.m. MST

Essential Functions

• Develops and promotes effective mechanisms to encourage a culture of compliance and reporting. 
• Participates in the implementation of regulatory requirements through projects and assignments. Supports the implementation of the 8 elements of a compliance program. 
• Evaluates and identifies risks and supports corrective action plans.  
• Provides consultation and information to senior management, staff, and partners on compliance issues and best practices. 
• Conducts compliance audits, reviews, and assessments to evaluate compliance status and identify areas of improvement or concern. Prepares and presents reports, findings, and recommendations to relevant audiences. 
• Coordinates and facilitates compliance training and education for staff and stakeholders. 
• Investigates and responds to compliance complaints, incidents, and breaches, and implement corrective and preventive actions. 
• Establishes and maintains effective relationships and communication channels with appropriate stakeholders. 
• Identifies and implements best practices and continuous improvement initiatives to enhance the regulatory compliance performance and culture of the organization
• Responsible for the promotion and awareness of positive ethical and moral principles consistent with the Mission, Vision, and Values of Intermountain Health.  Executes vision and multiple strategic priorities. And links day-to-day compliance activities to strategic objectives/priorities.

Skills

• Compliance Programs 
• Communication 
• Relationship Building
• Accuracy 
• Risk Compliance 
• Confidentiality 
• Facilitator
• Problem Solving
• Collaboration
• Decision making

Qualifications

• Certified Professional Coder (CPC)  national professional coding certification, highly preferred
• Three or more years of experience in physician coding and reimbursement, highly preferred
• High School Diploma or GED preferred.  
• Bachelor’s Degree in healthcare administration or relative field preferred. 
• Demonstrated professional experience in healthcare, compliance or related field. 
• Demonstrate knowledge of health care regulations. 
• Demonstrate effective verbal, written, and interpersonal communications. 
• Demonstrated discretion to maintain confidential information, evaluate alternatives, and make effective decisions. 
• Ability to work in a rapidly changing environment within formal and informal teams. 
• Demonstrate Intermediate problem-solving skills with effective coordination with diverse stakeholders and multiple areas and levels of the organization. 
• Ability to prioritize various assignments. 
• Demonstrate a strong understanding of and ability to apply the 8 elements of an effective compliance program. 

Physical Requirements

• Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs. 
• Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately. 
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. 
• Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. 
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles

Location:

Work City:

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Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.