Remote Billing Compliance Senior Auditor

Hybrid | Chicagoland Area

Contract-to-Hire

Compensation:  $34 – $44 per hour

Competitive Compensation + Benefits Upon Conversion

About the Opportunity

Emplify Health is partnering with one of the Midwest's premier integrated healthcare systems, recognized nationally for clinical excellence, innovation, and its commitment to quality patient care.

We are seeking a Billing Compliance Senior Auditor to join a highly respected Corporate Compliance team in a contract-to-hire capacity. This position offers a unique opportunity to work alongside compliance leadership, revenue cycle teams, coding professionals, and operational stakeholders to ensure billing, coding, and documentation practices meet regulatory and payer requirements across a large, complex healthcare organization.

This role is ideal for an experienced healthcare compliance, coding audit, revenue integrity, or billing compliance professional seeking a highly visible position with long-term career growth potential.

Position Overview

The Billing Compliance Senior Auditor supports the organization's Corporate Compliance Program by conducting audits, investigations, monitoring activities, and educational initiatives related to coding, billing, documentation, and reimbursement compliance.

The successful candidate will apply healthcare regulatory knowledge, payer requirements, coding guidelines, and compliance standards to identify risks, improve processes, and support organizational compliance efforts.

Key Responsibilities

• Conduct retrospective and prospective coding, billing, and documentation audits across physician practices, outpatient departments, and hospital-based services

• Review medical record documentation, billing records, charge capture data, and reimbursement activity to ensure compliance with payer and regulatory requirements

• Audit ICD-10-CM, CPT, HCPCS, and related coding methodologies for accuracy and compliance

• Analyze trends, identify compliance risks, and communicate findings to leadership and operational teams

• Assist with internal investigations related to billing, coding, and reimbursement concerns

• Evaluate adherence to Medicare, Medicaid, commercial payer, and organizational billing requirements

• Develop audit reports, corrective action recommendations, and compliance monitoring plans

• Collaborate with revenue cycle, coding, provider, and operational leadership teams to improve compliance performance

• Provide education and guidance related to coding, documentation, and billing compliance regulations

• Support ongoing compliance initiatives and organizational risk assessments

Required Qualifications

• Bachelor's degree in Health Information Management, Healthcare Administration, Business, Nursing, Compliance, or related field

• Minimum 5 years of experience in healthcare billing compliance, coding audit, revenue integrity, corporate compliance, or healthcare auditing

• Strong knowledge of:

  • ICD-10-CM

  • CPT

  • HCPCS

  • Medicare and Medicaid regulations

  • Commercial payer billing requirements

  • Healthcare reimbursement methodologies

• Experience conducting coding, billing, and documentation audits

• Strong analytical, investigative, and reporting skills

• Ability to interpret healthcare regulations and apply them to operational processes

Preferred Qualifications

• CPC, CCS, RHIA, RHIT, CHC, CHC-A, or similar certification

• Experience working within a large health system, academic medical center, or integrated delivery network

• Epic experience preferred

• Revenue Integrity, Compliance, Internal Audit, or Corporate Compliance experience

• Experience presenting audit findings and compliance education to providers and leadership teams

Schedule & Work Environment

• Contract-to-Hire opportunity

• Hybrid work environment

• Monday-Friday business hours

• Limited travel between local healthcare facilities as needed

• Collaborative and highly visible compliance role

Why Consider This Opportunity?

• Opportunity to join a nationally recognized healthcare organization

• Contract-to-hire pathway with long-term career growth

• High-impact role supporting enterprise-wide compliance initiatives

• Exposure to executive leadership, revenue cycle, coding, and compliance functions

• Stable healthcare environment with strong organizational support

• Excellent opportunity for experienced auditors, compliance professionals, and revenue integrity specialists looking to advance their careers

Benefits Through Connect Search

• Weekly direct deposit

• Medical, dental, and vision insurance options

• 401(k) program

• Dedicated recruiter support

• Credentialing and onboarding assistance

• Access to additional healthcare opportunities nationwide

Apply today to learn more about this exciting Billing Compliance Senior Auditor opportunity with a leading Midwest healthcare organization.