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Job Details

Compliance Auditor

Company name
VCU Health System

Richmond, VA

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- Bachelors degree is required

VCU Health System's Corporate Compliance is seeking a full time Compliance Auditor to perform documentation/chart audits on inpatient and outpatient records, and to provide analysis of the records (provider and facility) reviewed, education and other assistance as needed. Audits to include VCUHS coding and billing (DRG, CPT, ICD-9/10) based on a review of medical record documentation and/or billing claim data.


Works to an annual work plan and to manage resources such that the work plan is completed in a timely manner.

Interacts independently with all levels of employees.

Analyzes an issue, develops a plan to resolve and implements the resolution.



Bachelor's Degree in Business or Healthcare related field

Minimum of three (3) years of progressively responsible experience in hospital/physician coding and documentation reviews; healthcare compliance and working with electronic health records.

Previous experience with personal computers and software applications to include Microsoft Word, Excel and PowerPoint.

One of the following current AAPC certifications required or successfully obtained within six (6) months from date of hire into position:

Certified Professional Coder (CPC)

Certified Professional Coder-Hospital (CPC-H)

Certified Professional Coder-Payer (CPC-P)

CPMA Certified Professional Medical Auditor (CPMA)


One of the following current AHIMA certifications required or successfully obtained within six (6) months from date of hire into position:

Certified Coding Associate (CCA)

Certified Coding Specialist (CCS)

Certified Coding Specialist-Physician Based (CCS-P)


One (1) other current related coding certification required or successfully obtained within six (6) months from date of hire


Two (2) years of auditing work experience


Qualified applicants will receive consideration for employment without regard to their protected veteran or disability status.

Employment Type

Full time


1: Days

Company info

VCU Health System
Website :

Company Profile
VCU has a tradition of being first — a necessary practice when one is trying to provide the very best education in rapidly evolving times. We put one foot in front of the other, just like everybody else.We just happen to be one step ahead. Photo of first school of social work in the South First school of social work in the South The VCU School of Social Work was founded by a small group of Richmond citizens interested in improving the social conditions of Virginia’s urban and rural poor. Their efforts led to a training school for social workers, the first of its kind in the South. Today, the school is ranked 11th in the nation by U.S. News & World Report. VCU Medical Center physicians First organ transplants in Virginia Over the past 70 years, VCU Medical Center physicians performed the commonwealth’s first liver, kidney and heart transplants, as well as the East Coast’s first artificial heart transplant. Today, our transplant survival rates consistently meet or surpass the national average. Students at VCUQatar First American campus in Qatar VCU became the first university from the U.S. to operate a campus in Qatar, which now boasts programs from five other American universities, including Georgetown and Northwestern. In 2012, VCU opened VCUQatar House near the Richmond, Va., campus to continue to enhance our cross-cultural collaboration. L. Rice Education Building First LEED Platinum building in Virginia VCU built the first Platinum-level LEED structure in Virginia, located at the Inger and Walter Rice Center for Environmental Life Sciences, a research field station in Charles City County. Over the past five years, all new construction at VCU has met LEED Silver standards, at a minimum. VCU researchers Only university in Virginia to receive $20 million NIH grant to support translational research In 2010, VCU became the first and only university in Virginia to receive the $20 million Clinical and Translational Science Award from the National Institutes of Health to fund the VCU Center for Clinical and Translational Research. Our CCTR researchers serve as national leaders on research into women’s health, substance abuse and rehabilitation sciences. Only men’s basketball team to go from First Four to Final Four Our 2011 men’s basketball team was the first and only team to make it from the First Four to the Final Four — an NCAA Tournament run heralded as one of the greatest Cinderella stories of all time. During Coach Shaka Smart’s first four years at VCU, the team garnered 111 wins, the second highest for any NCAA Division I head coach in his or her first four seasons. 2011 VCU men's basketball team

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