[Hiring] Regulatory Billing Auditor @MaineHealth

Role Description

The Regulatory Billing Auditor supports compliant charging, billing, and documentation practices across the MaineHealth system by conducting medical audit reviews and analyses of clinical and technical records. Working under the direction of the Regulatory Billing Audit Manager, this role evaluates billing and documentation processes, identifies opportunities for improvement, and helps ensure compliance with healthcare regulations and organizational standards.

This position develops expertise in regulatory billing, including outpatient and physician practice billing, while partnering with Regulatory Billing leadership and Senior Billing Auditors to expand knowledge across a broad range of audit activities. The Auditor analyzes findings, prepares reports and executive summaries, and collaborates with leaders and staff to support process improvements, education, and ongoing compliance efforts.

Qualifications

• HS Education required.
• Secondary coursework in medical billing and coding is preferred.
• Must possess one or more of the following certifications: CPC, COC, RHIT, RHIA, CCS, or CCS-P.
• Additional certifications including CPMA, CHC, or CPCO are preferred.
• Five or more years combined experience in coding, billing, documentation improvement, clinical practice, payer claims adjudication, and/or compliance.
• Two to three years’ experience with medical auditing, research, and chart review is necessary.

Requirements

• Develop expertise in healthcare regulatory billing and auditing within a large integrated health system.
• Partner with experienced auditors and revenue cycle professionals who are committed to collaboration and continuous learning.
• Contribute to meaningful work that supports compliance, operational excellence, and revenue integrity.
• Gain exposure to a variety of auditing activities, including clinical and technical billing reviews.
• Enjoy the flexibility of a fully remote position while remaining connected to a supportive and engaged team.

Benefits

• Competitive benefits including paid parental leave.
• Flexible work options.
• Student loan assistance.
• Professional development opportunities.
• Well-being resources.
• Comprehensive benefits, recognition programs, and career growth opportunities.