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Compliance Auditor II

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CHRISTUS Health

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Location:
United States , Irving

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Category:

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Contract Type:
Not provided

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Salary:

Not provided

Job Description:

The Compliance Auditor II will assist in the overall quality, compliance, and auditing activities to ensure compliance of standard operating procedures, corporate policies, industry standards, and applicable federal and state laws. Conducts audit activities, reporting and communicates audit findings. Works in conjunction with Compliance Director on compliance work plans, internal and external audits and reviews, and provides assurance that the organization is operating in an efficient and effective manner.

Job Responsibility:

  • Manages compliance audit activities pertaining to compliance and coordinates with Corporate Compliance Director and Senior Leadership as it relates to such audits
  • Responsible for answering inquiries related to professional documentation, coding, and billing regulatory requirements
  • Assist with data analysis to determine root cause of reported or identified issues and determine level of escalation required
  • Performs and follows established audit work steps and procedures
  • Gather all relevant information for potential compliance issues, determine underlying causes, and relate information from different sources to draw logical conclusions
  • Maintain a current understanding of regulatory trends and changes in compliance and regulatory guidelines that affect CHRISTUS and its subsidiaries
  • Document all issues received, actions taken, and resolutions
  • Collaborates with Compliance Director, VP, Compliance on external audits and reviews
  • Coordinates and performs timely medical record and claims reviews across CHRISTUS Health departments
  • Works jointly with Compliance Directors, VP, Compliance on the compliance work plan, risk assessments, and quarterly Board Committee reports
  • Assist with the development of dashboards, written reports, or other deliverables
  • Provides feedback to HIM, Case Management, Patient Financial Services (PFS), Revenue Cycle, physicians and Hospital and Clinic operations regarding charging, documentation, patient status and coding issues
  • Perform audits and reviews, identify process improvements, and streamline processes
  • Communicates compliance/audit activities and outcomes to departments
  • Assists Compliance Director on OIG and other government audits/reviews and other compliance-related work
  • Maintains confidentiality and discretion regarding all work matters
  • Takes personal responsibility to ensure compliance with all policies, procedures and standards
  • Performs all duties in a manner that protects the confidentiality of patients

Requirements:

  • Associate's degree required
  • Strong interpersonal and written and verbal communications skills required
  • Strong data analytics and interpretation skills preferred
  • Knowledge and experience in using EPIC, Word, Excel, PowerPoint, PowerBI and similar Office programs preferred
  • RHIT, RHIA, RN, CHC, CPC or similar credential preferred

Nice to have:

  • Bachelor's degree preferred
  • Strong data analytics and interpretation skills preferred
  • Knowledge and experience in using EPIC, Word, Excel, PowerPoint, PowerBI and similar Office programs preferred
  • RHIT, RHIA, RN, CHC, CPC or similar credential preferred

Additional Information:

Job Posted:
March 18, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

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