Marin Community Clinics · 14 hours ago
Compliance Auditor
Novato, CA
Full-time
Onsite
Entry, Mid Level
$84K/yr - $95K/yr
2+ years expMarin Community Clinics is a multi-clinic network providing vital health services. The Compliance Auditor supports compliance, risk management, and quality programs by performing audits and monitoring activities to ensure adherence to regulations and improve patient safety.
Health CareHospitalNon Profit
Responsibilities
Conduct audits across medical, dental, behavioral health, specialty, and billing workflows
Evaluate documentation, coding, billing accuracy, and alignment with CMS, Medi-Cal, and HRSA requirements
Audit privacy/security compliance (HIPAA, HITECH, 42 CFR Part 2), telehealth consent, and minimum necessary requirements
Perform FTCA-related audits, including credentialing/privileging, QI, incident reporting, and OB risk processes
Review compliance with TJC standards and adherence to California laws and regulations
Audit adherence to internal policies, workflows, and operational procedures
Incorporate regulatory updates (OIG, CMS, HRSA, and California) into audit tools
Support HRSA Site Visit Protocol (SVP) monitoring
Develop audit tools and sampling methodologies
Produce clear audit reports outlining findings, trends, risk levels, and recommendations
Present results to leadership and committees; track corrective actions
Identify regulatory, financial, operational, and clinical risks and escalate issues appropriately
Recommend corrective action that support Just Culture and patient safety
Participate in root cause analysis (RCA) and after-action reviews
Provide targeted feedback and education based on audit findings
Support development of compliance training modules and department workflows
Validate quality measure documentation (UDS, HEDIS, CalAIM, dental and behavioral health metrics) and workflow adherence
Support performance improvement plans and monitor sustainability
Maintain audit logs, dashboards, CAP tracking, and trend reports
Support compliance hotline review, investigations, and regulatory survey preparation (HRSA, OSV, TJC, FTCA, CDPH, payer audits, etc)
Participate in cross-functional meetings as needed
Additional duties as assigned
Qualification
Required
Bachelor's degree education in health-care administration, health information management or law
Minimum 2–4 years of experience in health-care compliance, coding/billing auditing, documentation review, or quality improvement
Working knowledge of Medi-Cal, CMS, HRSA, FTCA, and CA-specific health-care regulations
Strong understanding of HIPAA, HITECH, 42 CFR Part 2, CMS Billing Guidelines, Medi-Cal requirements, Cal/OSHA, and TJC standards
Coding knowledge (ICD-10, CPT, HCPCS, CDT, DSM-5)
Excellent analytical, critical thinking, communication, and report-writing skills
Ability to manage multiple audits simultaneously
Ability to maintain confidentiality and professionalism at all times
Proficiency using EHRs (Epic, eCW, Dentrix, etc.), audit tools, spreadsheets, and dashboards
Fulfill Immunization and fit for duty regulatory requirements
Office and clinic-based; travel required between sites
Occasional evening / morning hours for audits or meetings
Ability to sit, stand, and walk for extended periods
Ability to lift up to 20 lbs
Preferred
Master's degree level in related field
FQHC, ambulatory care setting, or multisite clinic environment strongly preferred
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Medical Auditor (CPMA)
Certified in Healthcare Compliance (CHC), or equivalent
Dental coding certification a plus
QI, risk management, or safety certification is a plus
Benefits
Affordable health insurance and Health Reimbursement Accounts (HRA)
Dental and Vision Insurance
Educational and Continuing Education Benefits
Student Loan Repayment and Loan Forgiveness
Retirement Plan
Group Life and AD&D Insurance
Short term and Long Term Disability benefits
Professional Fee Reimbursement
Mileage and Cell Phone Reimbursement
Scrubs Reimbursement
Loupes Reimbursement
Employee Assistance Programs
Paid Holidays
Personal Days of Celebration
Paid time off
Extended Illness Benefits
Company
Marin Community Clinics
Marin Community Clinics is a nonprofit organization that offers healthcare services.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Leigha Andrews, MBA
Chief Health Services Officer
Thomas Asiano
Executive Assistant to the CEO, CFO and CMO
Recent News
The North Bay Business Journal
2022-12-24
Company data provided by crunchbase