[Remote] Compliance Auditor& Billing Data Analyst - Oncology
Note: The job is a remote job and is open to candidates in USA. McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. The Compliance Auditor & Billing Data Analyst is responsible for performing data-driven coding and billing reviews, validating reimbursement accuracy, and assessing compliance with federal and state regulatory requirements.
Responsibilities
• Conduct coding and billing reviews, audits, and quality assurance procedures in accordance with compliance department standard operating procedures
• Comprehend and adhere to department procedures related to billing and coding audits and reviews
• Prepare reports of findings and recommendations for improvement for internal review and distribution to business leaders and compliance leadership
• Collaborate with the education group to ensure that audit findings are accurate and accessible for training purposes
• Maintain up-to-date knowledge of E&M, CPT, HCPCS and ICD-10-CM coding and coding guidelines
• Perform reviews, audits, and quality assurance of final audit product using medical records to assess the documentation against base code sets impacting payment, ensuring compliance with Medicare, Medicaid, and other federal payor guidelines
• Validate E&M, CPT, HCPCS and ICD-10-CM codes assigned for Medicare, Medicaid, and other government payors based on provider selection
• Document results and necessary corrections clearly, providing supporting evidence from medical records and authoritative guidance
• Conduct auditing quality checks (QC) reviews to ensure billing and coding audits are performed in alignment with departmental procedures and Federal Payer guidelines, and that resulting reports are accurate and consistent with authoritative guidelines and department standards
• Occasionally deliver targeted education to providers based on audit findings, including one-on-one sessions and collaborative calls, to support compliance with documentation and coding standards
• Perform other job duties as assigned
• Meet or exceed production, quality, and department goals as established for the department
• Data analysis, reporting, and interpretation
• Supporting audits, quality reviews, or process monitoring (as applicable)
• Identifying trends, variances, or operational issues
• Ability to compare datasets to specifications, identify gaps, ensure data integrity (e.g., DV Analyst responsibilities)
• Use of analytical tools and multiple data sources; sense-checking and validating insights before delivery
• Understanding data governance, data quality, and documentation standards
• Following structured processes for analysis, validation, and implementation
• Workstream ownership—organizing tasks, updating leadership, and driving deliverables forward
• Cross‑functional collaboration with business, operations, or IT
Skills
• Active CPC/COC/or ROCC certification (REQUIRED)
• Healthcare background (REQUIRED)
• 4+ years healthcare coding experience using CPT, ICD‑10‑CM, HCPCS, and E/M (REQUIRED)
• 4+ years of healthcare coding, billing, auditing, or revenue integrity experience
• 1–2+ years analytical or reporting experience
• CPMA/CCS‑P/CRC preferred
• Bachelor's degree in HIM, healthcare administration, data analytics, or related field preferred
• Proficiency with Excel, SQL, or reporting tools
Benefits
• Competitive compensation package
• Annual bonus
• Long-term incentive opportunities
Company Overview
• McKesson distributes medical supplies, information technology, and care management products and services. It was founded in 1833, and is headquartered in Irving, Texas, USA, with a workforce of 10001+ employees. Its website is http://www.mckesson.com.
Apply Now
Apply Now
Responsibilities
• Conduct coding and billing reviews, audits, and quality assurance procedures in accordance with compliance department standard operating procedures
• Comprehend and adhere to department procedures related to billing and coding audits and reviews
• Prepare reports of findings and recommendations for improvement for internal review and distribution to business leaders and compliance leadership
• Collaborate with the education group to ensure that audit findings are accurate and accessible for training purposes
• Maintain up-to-date knowledge of E&M, CPT, HCPCS and ICD-10-CM coding and coding guidelines
• Perform reviews, audits, and quality assurance of final audit product using medical records to assess the documentation against base code sets impacting payment, ensuring compliance with Medicare, Medicaid, and other federal payor guidelines
• Validate E&M, CPT, HCPCS and ICD-10-CM codes assigned for Medicare, Medicaid, and other government payors based on provider selection
• Document results and necessary corrections clearly, providing supporting evidence from medical records and authoritative guidance
• Conduct auditing quality checks (QC) reviews to ensure billing and coding audits are performed in alignment with departmental procedures and Federal Payer guidelines, and that resulting reports are accurate and consistent with authoritative guidelines and department standards
• Occasionally deliver targeted education to providers based on audit findings, including one-on-one sessions and collaborative calls, to support compliance with documentation and coding standards
• Perform other job duties as assigned
• Meet or exceed production, quality, and department goals as established for the department
• Data analysis, reporting, and interpretation
• Supporting audits, quality reviews, or process monitoring (as applicable)
• Identifying trends, variances, or operational issues
• Ability to compare datasets to specifications, identify gaps, ensure data integrity (e.g., DV Analyst responsibilities)
• Use of analytical tools and multiple data sources; sense-checking and validating insights before delivery
• Understanding data governance, data quality, and documentation standards
• Following structured processes for analysis, validation, and implementation
• Workstream ownership—organizing tasks, updating leadership, and driving deliverables forward
• Cross‑functional collaboration with business, operations, or IT
Skills
• Active CPC/COC/or ROCC certification (REQUIRED)
• Healthcare background (REQUIRED)
• 4+ years healthcare coding experience using CPT, ICD‑10‑CM, HCPCS, and E/M (REQUIRED)
• 4+ years of healthcare coding, billing, auditing, or revenue integrity experience
• 1–2+ years analytical or reporting experience
• CPMA/CCS‑P/CRC preferred
• Bachelor's degree in HIM, healthcare administration, data analytics, or related field preferred
• Proficiency with Excel, SQL, or reporting tools
Benefits
• Competitive compensation package
• Annual bonus
• Long-term incentive opportunities
Company Overview
• McKesson distributes medical supplies, information technology, and care management products and services. It was founded in 1833, and is headquartered in Irving, Texas, USA, with a workforce of 10001+ employees. Its website is http://www.mckesson.com.
Apply Now
Apply Now