Compliance Auditor I

2 months ago

Roanoke, Virginia, United States Carilion Clinic Full time
Carilion Clinic

How You'll Help Transform Healthcare:


The Compliance Auditor I will be responsible for providing compliance guidance, developing and implementing proactive strategies to reduce risk and performing investigations and audits for the areas assigned. The Compliance Auditor I will focus the majority of their time on performing planned and investigative audits and associated work related to revenue-cycle related compliance risks.

  • As assigned, receives, provides guidance, investigates and responds to documentation, coding and revenue-cycle related and compliance questions and concerns. Will assist in the evaluation and resolution of external audit inquiries and results (such as RAC, CERT, PERM, ZPIC, CMS, MAC, etc.)
  • Assists with periodic risk assessments to identify, prioritize and evaluate compliance risks.
  • Performs audits to determine if the organization is complying with its policies, procedures and applicable regulatory standards. Collaborates with impacted parties to develop and implement action plans to address audit findings.
  • Develops implements and/or monitors mitigation plans resulting from compliance events/risks.
  • Assists with the development and maintenance of compliance policies, forms, notices and associated materials to reflect organizational processes and well as compliance with applicable laws and regulations.
  • Assists in preparation of reports.
  • Fully documents activities in the designated databases.
  • Assists the Compliance leadership and senior compliance auditors with other duties as assigned.
  • Maintains current knowledge of applicable federal and state laws and regulations.
  • Consistently deliver the best in customer service and patient care. As a team member, demonstrate respect, dignity, kindness and empathy in each encounter with patients, families, visitors and other employees.
  • Champion Carilion's mission, vision and values; comply with the policies and procedures, ethical standards and code of conduct set forth by the company.
What We Require:


Education: Associates Degree or equivalent 4 years of experience required.

Experience: Minimum of two years coding, documentation and revenue cycle compliance, auditing or applicable experience???????

Licensure/Certification: Coding certification required for applicable area of expertise at time of hire (e.g. CPC, COC, CIC).

Other: Excellent oral and written communications skills. Demonstrated knowledge of providing adult education, business practices, with ability to work with minimal supervision, and adapt quickly to change. Skilled in use of personal computers to aid productivity and enhance output.

About Carilion


This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.


Requisition Number:
Employment Status: Full time
Location: CASB - Carilion Administrative Services Building
Shift: Day
Shift Details: Monday-Friday 8-5
Recruiter: DAVID L NIVEN
Recruiter Phone:
Recruiter Email:
For more information, contact the HR Service Center at

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

Carilion Clinic is a drug-free workplace.



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