Mar 16, 2026

HIM Physician Auditor - Full Time

  • Vail Health

Job Description

5796611004
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Audit physician documentation and coding for multi-specialty providers to ensure accuracy, completeness, and compliance with ICD-10-CM, CPT, HCPCS, E/M leveling, payer guidelines, and regulatory standards. Review medical records to validate billed services, medical necessity, and identify discrepancies, errors, or potential fraud. Prepare detailed audit reports with findings, recommendations, and corrective action plans. Provide education and feedback to physicians, clinical staff, and team members on documentation improvement, coding accuracy, and compliance best practices. Collaborate with coding, compliance, and clinical teams to resolve audit findings and support cross-functional projects. Utilize audit results to deliver data-driven insights to providers and management for performance improvement and retraining. Stay current with coding standards, payer policies, and healthcare regulations; maintain professional knowledge through workshops and publications. Participate in internal and external audits, including regulatory inspections. 5 years of experience in physician coding required 5 years auditing and/or clinical documentation improvement, Pro Fee setting required

One of the following certifications required:

Registered Health Information Technician (RHIT) Certified Coding Specialist (CCS/CCS-P) Certified Professional Coder (CPC) Certified Professional Medical Auditor (CPMA) N/A

Benefits at Vail Health (Full and Part Time) Include:

Competitive Wages & Family Benefits: Competitive wages Parental leave (4 weeks paid) Housing programs Childcare reimbursement Comprehensive Health Benefits: Medical Dental Vision Educational Programs: Tuition Assistance Existing Student Loan Repayment Specialty Certification Reimbursement Annual Supplemental Educational Funds Paid Time Off: Up to five weeks in your first year of employment and continues to grow each year. Retirement & Supplemental Insurance: 403(b) Retirement plan with immediate matching Life insurance Short and long-term disability Recreation Benefits, Wellness & More: Up to $1,000 annual wellbeing reimbursement Recreation discounts Pet insurance