Know ATS Score
CV/Résumé Score
  • Expertini Resume Scoring: Our Semantic Matching Algorithm evaluates your CV/Résumé before you apply for this job role: Sr Coding Compliance Auditor.
United States Jobs Expertini

Urgent! Sr Coding Compliance Auditor Job Opening In Chattanooga – Now Hiring Mountain Management Services

Sr Coding Compliance Auditor



Job description


Job Summary and Responsibilities

Job Summary / Purpose

The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an emphasis on documentation, coding improvement, and revenue capture.

Provides education to clinicians, clinic staff, and others as needed via face-to-face meetings, classroom settings, webinars, and online modules.

Develops, maintains and presents coding and compliance educational materials to staff and clinicians.

Collaborates with the coding team to support the needs of the organization.

The position will support risk adjustment improvement efforts across the medical group.

The Hierarchical Condition Category (HCC) Quality program was developed by CMS to promote quality care for Medical Advantage members.

By focusing on comprehensive documentation to identify, evaluate and assess chronic conditions at the appropriate specificity, patient medical needs are met at the highest level.

The Sr Coding Compliance Auditor’s primary focus will be to facilitate and ensure the comprehensive capture of chronic conditions for the purpose of accurately reporting HCC’s.

Prospective and concurrent reviews will account for 70% of the workload with the other portion of time focused on provider communication, and claims denial resolutions.

Communicates denial trends to leadership and works with practice managers to resolve these trends.

The position will create and develop sustainable workflows as this will be a new area of focus.

Additionally the role will assist with educating providers on quality opportunities as well.

Clinical background preferred but not required.

Essential Key Job Responsibilities

  • 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.
  • Adheres to deadlines and ensures reports are completed and distributed to all concerned parties.
  • Provides structured and ad hoc training/education to staff and providers.

  • Performance necessary analysis of data for the purpose of identifying trends and making suggestions for change to process.

    Develop action plans based on analysis.
  • Works collaboratively with Revenue Cycle Staff, Coding team, Clinical Informatics, and other MMS staff associated with HCC Initiative.

  • Identifies claims correction opportunities and submits to appropriate personnel for processing.
  • Acts as documentation and coding liaison to clinicians to include review, education and necessary follow-up to help ensure that clinical documentation and coding services meet government and organizational policies and procedures.

  • Performs periodic face to face visits, to assigned offices, to provide documentation education and assist with workflow issues, while building a rapport with practice managers, office staff, and providers.

  • Prepares necessary reports and communicates results of audits to management, clinicians, and committees as appropriate.

  • Reports areas of risk directly to the Coding Integrity Manager/Supervisor.
  • Maintains a high level of competency related to clinical documentation and coding in assigned specialty and other areas and compliance with government regulations by attending appropriate workshops and seminars.
  • Working knowledge of concepts, practices, policies, procedures, standards, systems and tools applicable to medical records coding; including documentation requirements and medical terminology.
  • Possess a strong work ethic with demonstrated ability to work independently or collaboratively as part of a team with multiple priorities and deadline constraints.
  • Maintain confidentiality of patient information.
  • Participate in departmental projects in order to enhance efficiency, systems, education, patient care or personal growth.

  • Participates in special projects and completes other duties as assigned.


  • Job Requirements

    Required Education 
    Associate Degree preferred.

    Required Licensure and Certifications
    Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist Physician Based (CCS-P)
    or the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required.


    Professional Medical Auditor Certification (CPMA) (CMAS)-preferred but not required.


    CRC Certification preferred or must be obtained within the first year.
    Prefer RN, LPN, or CMA state of TN/GA but not required.

    Where You'll Work

    CHI Memorial Mountain Management 

    CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice.

    We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.

    We care about our employees’ well-being and offer benefits that complement work/life balance.

    We offer the following benefits to support you and your family:

    Employee Assistance Program (EAP) for you and your family

    Health/Dental/Vision Insurance

    Flexible spending accounts

    Voluntary Protection: Group Accident, Critical Illness, and Identity Theft 

    Adoption Assistance

    Paid Time Off (PTO) 

    Tuition Assistance for career growth and development

    Matching Retirement Programs

    Wellness Program

    If you are passionate about the patient experience and ready to join our nationally recognized hospital, connect with us today!


    Required Skill Profession

    Financial Specialists



    Your Complete Job Search Toolkit

    ✨ Smart • Intelligent • Private • Secure

    Start Using Our Tools

    Join thousands of professionals who've advanced their careers with our platform

    Rate or Report This Job
    If you feel this job is inaccurate or spam kindly report to us using below form.
    Please Note: This is NOT a job application form.


      Unlock Your Sr Coding Potential: Insight & Career Growth Guide


    • Real-time Sr Coding Jobs Trends in Chattanooga, United States (Graphical Representation)

      Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Sr Coding in Chattanooga, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 55172 jobs in United States and 53 jobs in Chattanooga. This comprehensive analysis highlights market share and opportunities for professionals in Sr Coding roles. These dynamic trends provide a better understanding of the job market landscape in these regions.

    • Are You Looking for Sr Coding Compliance Auditor Job?

      Great news! is currently hiring and seeking a Sr Coding Compliance Auditor to join their team. Feel free to download the job details.

      Wait no longer! Are you also interested in exploring similar jobs? Search now: .

    • The Work Culture

      An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Mountain Management Services adheres to the cultural norms as outlined by Expertini.

      The fundamental ethical values are:
      • 1. Independence
      • 2. Loyalty
      • 3. Impartiality
      • 4. Integrity
      • 5. Accountability
      • 6. Respect for human rights
      • 7. Obeying United States laws and regulations
    • What Is the Average Salary Range for Sr Coding Compliance Auditor Positions?

      The average salary range for a varies, but the pay scale is rated "Standard" in Chattanooga. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

    • What Are the Key Qualifications for Sr Coding Compliance Auditor?

      Key qualifications for Sr Coding Compliance Auditor typically include Financial Specialists and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.

    • How Can I Improve My Chances of Getting Hired for Sr Coding Compliance Auditor?

      To improve your chances of getting hired for Sr Coding Compliance Auditor, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

    • Interview Tips for Sr Coding Compliance Auditor Job Success
      Mountain Management Services interview tips for Sr Coding Compliance Auditor

      Here are some tips to help you prepare for and ace your job interview:

      Before the Interview:
      • Research: Learn about the Mountain Management Services's mission, values, products, and the specific job requirements and get further information about
      • Other Openings
      • Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.
      • Dress Professionally: Choose attire appropriate for the company culture.
      • Prepare Questions: Show your interest by having thoughtful questions for the interviewer.
      • Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.
      During the Interview:
      • Be Punctual: Arrive on time to demonstrate professionalism and respect.
      • Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.
      • Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.
      • Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.
      • Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.
      • Follow Up: Send a thank-you email to the interviewer within 24 hours.
      Additional Tips:
      • Be Yourself: Let your personality shine through while maintaining professionalism.
      • Be Honest: Don't exaggerate your skills or experience.
      • Be Positive: Focus on your strengths and accomplishments.
      • Body Language: Maintain good posture, avoid fidgeting, and make eye contact.
      • Turn Off Phone: Avoid distractions during the interview.
      Final Thought:

      To prepare for your Sr Coding Compliance Auditor interview at Mountain Management Services, research the company, understand the job requirements, and practice common interview questions.

      Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Mountain Management Services's products or services and be prepared to discuss how you can contribute to their success.

      By following these tips, you can increase your chances of making a positive impression and landing the job!

    • How to Set Up Job Alerts for Sr Coding Compliance Auditor Positions

      Setting up job alerts for Sr Coding Compliance Auditor is easy with United States Jobs Expertini. Simply visit our job alerts page here, enter your preferred job title and location, and choose how often you want to receive notifications. You'll get the latest job openings sent directly to your email for FREE!