Compliance Risk Auditor

About the role

The Joint Office for Compliance at UI Health Care is seeking a Compliance Risk Auditor to conduct professional and hospital risk audits. You will ensure adherence to coding, billing, and documentation policies while complying with federal regulations.

Key responsibilities

• Perform risk audits in line with UI Health Care policies, federal rules, and coding/billing guidelines.
• Research coding, billing, and regulatory topics independently to support audit scope.
• Track and organize audit findings, communications, and resources in shared folders.
• Report and validate audit findings promptly, discussing results with supervisors and leadership.
• Compose detailed summaries for providers, coders, and administrators.
• Conduct audit meetings (in‑person or virtual) to resolve issues and communicate results.
• Prepare complex reports for leadership that highlight trends, impact, and corrective actions.

Required profile

• Bachelor’s degree in Health Information Management or related field, or equivalent experience.
• Certification such as RHIT, RHIA, CPC, or equivalent.
• 1‑3 years of coding experience (inpatient, outpatient, professional, or hospital).
• Strong written and verbal communication skills.
• Ability to maintain confidentiality and work in a respectful environment.

Required skills

• Knowledge of CPT/HCPCS guidelines and federal coding/billing regulations.
• Experience with electronic medical record (EMR) systems.
• Proficiency in coding software.
• Microsoft Office Suite (Word, Excel, PowerPoint).