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Sr Coding Compliance Auditor

  • Mountain Management Services
  • Chattanooga, Tennessee, Remote
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About Us

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

Our Mission

As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values.

The posted compensation range of $25.42 - $37.82 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Job ID
2026-470540
Employment Type
Full Time
Department
Physician Coding
Hours/Pay Period
80
Weekly Schedule
8:00am-4:30pm
Shift
Day
Remote
Yes
Category
Medical Coding

Job Summary and Responsibilities
As our Auditor, you will be a critical guardian of compliance and financial integrity, optimizing operational efficiency across our facility.

Every day, you will conduct comprehensive audits of financial records, processes, and regulatory compliance. You’ll identify risks, evaluate internal controls, and provide insightful recommendations to enhance performance, mitigate fraud, and ensure adherence to healthcare laws, directly supporting sound decision-making.

To be successful, you’ll combine strong analytical and investigative skills with an in-depth understanding of healthcare regulations, sharp attention to detail, and the ability to communicate complex findings persuasively, transforming audit insights into tangible improvements.
  • Performs prospective and concurrent chart reviews to ensure documentation is complete and compliant to facilitate the accurate reporting of HCC diagnoses via claims.
  • Works to resolve claims denials and reports denial trends to leadership
  • Demonstrates analytical and problem-solving ability regarding review of submitted diagnosis codes versus services reflected in the documentation in the patients’ chart note.
  • Follows department policies and guidelines on appropriate documentation to billing codes, abstracting information from chart notes based on performance program measures.
  • Partners with the quality team, clinically integrated network and payers as necessary, to identify trends and gaps for creating a better process.
  • Assists in the development and reporting of HCC and Pay for Performance metrics.
Job RequirementsRequired
  • five years physician coding experience and
  • Certified Rehabilitation Counselor, within 12 - months and
  • Certified Professional Coder Hospital Apprentice, upon hire or
  • Certified Professional Coder Apprentice, upon hire or
  • Certified Coding Associate, upon hire or
  • Cardiology Coding, upon hire or
  • Certified Coding Specialist, upon hire or
  • Certified Coding Specialist - Physician Based, upon hire or
  • Certified Cardiovascular and Thoracic Surgery Coder, upon hire or
  • Certified Health Care Compliance, upon hire or
  • Certified Interventional Radiology Cardio Coder, upon hire or
  • Certified Professional Coder, upon hire or
  • Certified Professional Coder Hospital, upon hire or
  • Radiology Certified Coder, upon hire or
  • Registered Health Information Administrator, upon hire or
  • Registered Health Information Technician, upon hire and

Preferred
  • Associates Other, upon hire and
  • three years experience performing diagnosis, E/M, and procedure code audit/review/education functions for professional fees in multi-specialty setting
  • Registered Nurse: TN, upon hire or
  • Licensed Practical Nurse: TN, upon hire or
  • Certified Nursing Assistant: TN, upon hire or
  • Certified Professional Medical Auditor, upon hire
Where You'll Work

CommonSpirit Medical Group (Mountain Management Services) is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia. Our award-winning, faith-based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AI™, CMS, Healthgrades®, Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence.

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.

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