Sr Professional Facility Auditor

Nuvance Health

Pembroke Pines, FL(remote)

JOB DETAILS
SALARY
$28.78–$53.45 Per Hour
SKILLS
Anatomy, Auditing, Billing Records, Cardiology, Centers for Medicare and Medicaid Services (CMS), Clinical Study Publications, Clinical Support, Coding Standards, Communication Skills, Continuous Improvement, Current Procedural Terminology (CPT), Customer Support/Service, Detail Oriented, Documentation, Federal Laws and Regulations, Health Department, Healthcare, Healthcare Common Procedure Coding System (HCPCS), Home Care, Hospital, ICD-10, Leadership, Medical Coding, Medical Products, Medical Terminology, Medicare, Nursing, Order Supplies, Outpatient Care, Physiology, Primary Care, Process Improvement, Professional Services, Radiology, Registered Health Information Administrator (RHIA), Regulations, Regulatory Compliance, Safety Compliance, Search Engine Keywords, State Laws and Regulations, Team Player, Telehealth
LOCATION
Pembroke Pines, FL
POSTED
30+ days ago

Sr Professional Facility Auditor in Pembroke Pines, FL, United States Join our Talent Network

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Sr Professional Facility Auditor Location: Pembroke Pines, FL, United States Salary Range: $28.78 - $53.45 Work Type: Full-Time Standard Hours: 40 FTE Non-Exempt Work Schedule: Day, 8a - 4:30p Date Posted: Feb 13, 2026

See whats possible in our system of care Nuvance Health extends from New Yorks Hudson Valley to western Connecticut. Our team of more than 15,000 caregivers delivers compassionate care through seven community hospitals, primary care and specialty practice locations, outpatient settings, home care services, and telehealth visits. With strong hearts and open minds, were pushing past boundaries and challenging the expected all in the name of possibility. As we journey forward, we are guided by our values: personal, imaginative, agile, and connected. Our curiosity is opening new pathways and creating new advancements in healthcare for all.

Must reside in the following states: AZ CT DE FL GA IL IN KS MA MD ME MI MS NC NH NJ NY OH PA SC TN TX VA

Job Title: Senior Professional Facility Auditor Company: Nuvance Health Department: Facility Charging and Coding Location: Remote Employment Type: Full-Time | Non-Exempt Salary Range: $28 - $53 hour

About the Role Nuvance Health is seeking a detail-oriented and experienced Senior Professional Facility Auditor to join our Facility Charging and Coding team. In this role, you will perform in-depth audits of facility and professional coding to ensure clinical documentation supports services rendered. Your expertise in medical terminology, anatomy, physiology, regulatory compliance, and coding guidelines will be essential in driving accuracy and improving documentation and billing practices across our organization.

Key Responsibilities Conduct comprehensive audits of ICD-10, CPT, 4, HCPCS, EM codes, medical supplies, orders, and UB04 revenue codes for both facility and professional services. Lead educational sessions for coders based on audit findings to reinforce compliance with CMS, Medicare, state, federal regulations, and internal policies. Stay current with CMS, NGS, Medicare, AAPC, and OIG updates, bulletins, and compliance requirements to ensure up-to-date coding standards. Collaborate with physician and hospital coding leadership to identify documentation and coding trends, errors, and improvement opportunities. Perform accurate coding and charging for complex clinical services, including interventional cardiology, radiology, and vascular procedures. Utilize internal systems and applications with a high level of competency to ensure audit accuracy and reporting efficiency. Participate in team meetings, ongoing education, and continuous improvement initiatives to support departmental goals. Maintain high standards for customer service, teamwork, safety, and compliance. Perform additional duties as assigned.

Qualifications Required: CPCCS-PCOCRHIT - With Coding Auditing experience RHIA - With Coding Auditing experience Outpatient Facility Coding - Auditing will include facility coding for Interventional Radiology, Cardiac Cath, Outpatient Surgery, Observation & Ancillary Advanced knowledge of medical terminology, anatomy, physiology, and federal/state documentation and billing regulations Extensive experience auditing both facility and professional medical coding Proficiency in coding complex encounters and using relevant coding systems and software Preferred: Not Required Associates degree or higher CIRCC & CCC Coursework in Anatomy and Physiology Work Conditions: Physical Effort: Light - primarily sedentary, may exert up to 10 lbs. of force Working Environment: Generally pleasant, no significant occupational risks Communication: Daily interaction, including verbal, written, and participation in team meetings

Why Join Nuvance Health At Nuvance Health, we are committed to providing outstanding care and support to our patients and teams. Join a collaborative and progressive environment where your skills in compliance, coding, and education can make a measurable impact.

Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team members base salary and/or rate, several factors may be considered, as applicable, e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity.

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We are an equal opportunity employer Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status, or any other classification protected under applicable Federal, State, or Local law. We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact 203-739-7330 for reasonable accommodation requests only. Please provide all information requested to ensure that you are considered for current or future opportunities.

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