Role Description The Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results. - Perform coding audits and compliance audits for providers, including physicians and mid-level providers. - Prepare reports of audits and present audits to internal and external parties as needed. - Complete accurate application of appropriate coding and documentation guidelines, including but not limited to: - E&M and surgery documentation guidelines - CCI guidelines - CPT/HCPCS coding guidelines - Specialty association guidance - Provide physician education when necessary, including audit findings or edit and denial trending. - Complete coding audits for our copartners’ coding WQ. - Work with any offsite auditors. - Evaluate and report on the overall quality of physician documentation that supports selected codes, specifically regarding medical necessity. - Adhere to local and national coverage determinations, CCI, and payer specific editing rules. - Ensure appropriate documentation and coding of split/shared services, teaching physician guidelines, and any client specific quality assessment programs. - Compile, trend, analyze, and report on all findings that do not meet the guidelines listed above. - Maintain a professional attitude. - Other duties as assigned by the management team. - Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. - Understand and comply with Information Security and HIPAA policies and procedures at all times. - Limit viewing of PHI to the absolute minimum necessary to perform assigned duties. Qualifications - High School diploma or equivalent required. - CPC or CCS coding certification required from AHIMA or AAPC. - Minimum 5 years of coding experience and minimum 2 years auditing experience in a multi-specialty setting. - Must be able to use job-related software. - Self-starter with ability to work independently. - Proficiency in Microsoft Office Suite. - Strong interpersonal skills, ability to communicate well at all levels of the organization. - Strong problem solving and creative skills, ability to exercise sound judgment and make decisions based on accurate and timely analyses. - High level of integrity and dependability with a strong sense of urgency and results oriented. - Excellent written and verbal communication skills required. - Gracious and welcoming personality for customer service interaction. Requirements - Must possess a smart-phone or electronic device capable of downloading applications for multifactor authentication and security purposes. Working Conditions - While performing the duties of this job, the employee is occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals, and telephones; extend arms; kneel; talk and hear. - The employee must be able to follow directions, collaborate with others, and handle stress. - The noise level in the work environment is usually minimal.

• Independently plan audits • Conduct audits in accordance with relevant standards • Prepare for and follow up on audit processes • Prepare audit reports in German and English • Lead on-site audits

Role Description The Nurse Auditor is an expert clinician in the related specialty practice that combines clinical practice with education and leadership. Responsibilities include: - Overseeing and performing the concurrent, pre-bill and assisting with retrospective audits of billed charges against medical records to identify missing revenue. - Identifying opportunities related to charging properly and determining the root cause. - Working with the leadership team to develop appropriate and standard charging and documentation practices. - Participating in the annual departmental charge master review. - Assisting in the training of clinical staff on changes in the chargemaster. Estimated salary range for this position is $80,516.80 - $107,087.34 / year depending on experience. Qualifications - Degrees: Bachelors. - Licenses & Certifications: Registered Nurse. - Minimum 3 years of clinical experience. - Procedural coding, billing and audit experience required. - Extensive knowledge of laws, regulations and rules applicable to billing government payers is helpful. - Demonstrated ability to be self-directed with excellent organization, analytical and interpersonal skills. - Excellent oral and written communications skills. - Strong attention to detail. - National certification in related department specialty preferred. - Minimum Required Experience: 4 Years. Benefits - Career growth and development opportunities, with clear pathways and ongoing support. - Comprehensive health and wellness resources that go beyond traditional benefits. - A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs. - Tuition reimbursement to support continued learning and advancement. - And so much more. Company Description Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels our commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we're all in.

Role Description WCF Insurance is growing, and the Premium Audit department has an immediate opening for someone who can demonstrate the WCF Insurance values to join our team as an Associate Premium Auditor. This position is open to both internal and external candidates. This is a full-time, primarily remote, and an exempt position open to qualified candidates residing in Northern Utah. Regular travel to policyholder locations within the assigned geographic area is required. - The Associate Premium Auditor meets with policyholders to review payroll and accounting records to determine final premium. - Prepares detailed reports and clearly communicates findings, including changes in payroll, premium, and classification codes. - Conducts all work with a focus on WCF's values and provides exceptional customer service. - Manages workload and priorities to ensure that production, quality, and timeliness standards are met. - Works closely with cross‑functional partners at WCF, including Underwriting and Marketing, through all phases of the policy life cycle. Qualifications - Bachelor's degree, preferably in accounting, finance, or business administration. - Accounting or finance experience preferred. - Excellent oral and written communication skills. - Ability to analyze financial statements and payroll records. - Basic computer skills, including proficiency in Word and Excel. - Strong organizational skills. - Internal candidates should have 6 months in their current position, acceptable job performance, and must notify their current supervisor that they have applied for the position. Benefits - Medical, Dental, and Vision insurance. - Company paid life insurance. - 401K with a generous 6% employer match. - Employee Assistance Program (EAP). - Time off to volunteer in the local community. - All employees earn 4 weeks of vacation in their first year. Company Description WCF strives to provide an excellent work experience and cultivate an inclusive environment where anyone who embodies our values will thrive. WCF Insurance provides equal employment opportunity to all qualified applicants and employees regardless of race, color, religion, sex, age, national origin, veteran status, disability that can be reasonably accommodated, or any other basis prohibited by federal, state, or local law.