About Careertakes

👉 Important disclosure: Careertakes is a third-party recruiting platform supporting this hiring process. If selected, you will be employed directly by our client, IT.

Applicants for this role may also receive access to additional matched opportunities through the Careertakes platform.

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What You’ll Do

The Confidential Client is seeking a Provider Coding Compliance Consultant to lead provider-focused coding audits, deliver findings and education, and support coding compliance initiatives across clinical specialties.

• Identify and prioritize audit projects; schedule and coordinate audits with appropriate personnel.
• Conduct coding and documentation audits of provider services to assess compliance with internal policies and applicable federal, state, and payer rules.
• Prepare clear, written audit and investigation reports that identify risk, recommend corrective actions, and track remediation.
• Obtain, monitor and verify corrective action plans; follow through to confirm effective implementation.
• Track audit findings, measure outcomes, and survey auditees to assess satisfaction and audit effectiveness.
• Provide targeted coding education for providers and staff based on audit trends and compliance needs.
• Serve as a coding compliance resource for departments and clinical teams on routine coding and documentation questions.

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What We’re Looking For

• Strong written and verbal communication skills; comfortable presenting audit findings and delivering provider education.
• Advanced knowledge of CPT, ICD-10-CM, HCPCS, CMS regulations, and payer-specific billing/documentation requirements.
• Experience auditing E/M services, surgical procedures, office-based procedures, and diagnostic services across multiple specialties — advanced knowledge in orthopedics is a plus.
• Proficiency with Microsoft Word and Excel.
• Attention to detail, sound judgment, integrity, and objective decision-making.
• Demonstrated critical thinking and initiative; willingness to learn business processes and auditing techniques.

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Preferred Skills & Certifications

• HCCA certification preferred.
• Medical coding certifications (CPC, CCS, CCS-P) strongly preferred.
• Bachelor’s degree in Health Information Management (HIM) or equivalent experience (see Minimum Qualifications).
• Prior experience in physician/professional fee coding and compliance audits.

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Compensation & Location

• Location: Grandview Heights, OH (on-site / local travel as required).
• Employment type: Full-time.
• Pay range (provided by Confidential Client): $30.52/hour ($63,481/year) — $45.79/hour ($95,243/year). Actual pay depends on candidate qualifications and experience.
• Note: Confidential Client has a policy regarding nicotine use; applicants should review any site-specific employment policies during the interview process.

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Minimum Qualifications

• Bachelor’s degree OR four (4) years of related work experience in lieu of degree.
• Minimum of 1 year of relevant healthcare coding, auditing, or compliance experience.
• Demonstrated ability to perform provider audits and produce actionable reports.

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Additional Information

• This role supports a robust compliance program and requires adherence to Confidential Client policies and applicable laws and regulations.
• Reasonable accommodations are available for applicants with disabilities during the hiring process — please request accommodations through Careertakes if needed.

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Equal Opportunity & Hiring Transparency

Careertakes and our client are Equal Opportunity Employers committed to building a diverse and inclusive workforce. We prohibit discrimination or harassment of any kind. To support a fair and efficient hiring process, AI tools may be used to assist with application review or resume screening. These tools do not replace human decision-making. Final hiring decisions are made by people.

If you have questions about how your data is used, please contact us directly.