[Hiring] Provider Documentation & Billing Auditor @Mary Free Bed Rehabilitation Hospital

Role Description

This is a limited duration role to cover for a leave of absence. Position is eligible for remote work within the United States.

The Provider Documentation and Billing Auditor is responsible for conducting independent audits, reviews, and monitoring activities related to provider documentation, coding, billing, and reimbursement practices across the Mary Free Bed system. This role evaluates compliance with organizational policies and procedures, federal and state laws and regulations, payer requirements, and applicable coding and billing standards to help ensure the integrity of provider services and revenue cycle operations.

The Auditor assesses existing documentation, coding, and billing processes to identify compliance risks, control gaps, operational inefficiencies, and opportunities for improvement. Through audit findings, data analysis, and collaboration with clinical, operational, and provider leaders, the Auditor develops recommendations to strengthen internal controls, enhance documentation accuracy, improve billing compliance, and support appropriate reimbursement.

A key responsibility of this position is to identify, investigate, correct, and help prevent documentation and billing issues through ongoing monitoring, education, and proactive compliance initiatives. The Auditor serves as a subject matter resource for providers, advanced practice providers, leadership, and staff regarding documentation integrity, coding accuracy, billing requirements, and regulatory expectations.

The Provider Documentation and Billing Auditor plays a critical role in promoting a culture of integrity, accountability, and compliance throughout the organization by fostering awareness of regulatory requirements and supporting continuous improvement efforts. This position reports directly to the Compliance Officer.

Qualifications

• Bachelor’s degree or higher in health information management, healthcare administration, nursing, or related field.
• 2-5 years of provider coding and billing experience in professional services.
• Experience auditing:
  • Evaluation and Management (E/M) services
  • CPT coding
  • ICD-10-CM diagnosis coding
  • HCPCS Level II coding
  • Modifier usage
  • Medicare and commercial payer requirements
  • Documentation requirements supporting billed services
• Extensive knowledge of healthcare compliance policies, programs, practices, standards, and related compliance issues.
• Advanced knowledge of compliance and auditing principles, theories, and concepts.
• Auditing, Compliance, Healthcare billing and/or coding certification preferred.
• Knowledge of billing procedures and systems.
• Demonstrated experience and success with customer service principles with a varying group of people.
• Possesses organizational, communication, and complex problem-solving skills.
• Experience with computers and application software.
• Works independently and with minimal direction.
• Works efficiently and with flexibility in high-stress and fast-paced situations.
• Participates as a collaborative team member to maximize group effectiveness.
• Maintaining confidentiality of MFB Health records and systems.

Requirements

• Remain in a stationary position: Frequently
• Traverse or move around work location: Occasionally
• Use keyboard: Majority
• Operate or use department specific equipment: Occasionally
• Ascend/Descend equipment or ladder: None
• Position self to accomplish the Essential Functions of the role: Occasionally
• Receive and communicate information and ideas for understanding: Frequently
• Transport, position, and/or exert force:
  • Up to 10 pounds: Occasionally
  • Up to 25 pounds: None
  • Up to 50 pounds: None
  • Up to 75 pounds: None
  • More than 100 pounds: None

Benefits

• Consistent with the Americans with Disabilities Act (ADA), it is the policy of Mary Free Bed Rehabilitation Hospital to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship.
• The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process.
• If reasonable accommodation is needed, please contact the Talent Acquisition team at [email protected].
• Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability, or other legally protected characteristic.