Compliance Auditor

Job Details

Christiana Care is searching for a Compliance Auditor to support the Office of Compliance & Privacy through assigned compliance activities and audits to ensure effective clinical documentation that meets regulatory guidelines.

• Helps the Office of Compliance & Privacy adhere to assigned audit schedule and reviews as outlined in the Departmental Compliance Workplan and as assigned.
• Assists with reviewing internal and external inquiries regarding compliance and privacy matters, including government and third‑party payor requests.
• Conducts audits and focused reviews to ensure compliance with government and payor guidelines.
• Assists with maintaining regular and consistent governance‑level reporting and metrics for the Compliance department, including dashboards, board reporting, weekly, monthly, and annual compliance & ethics reporting.
• Reviews documentation to ensure appropriate assignment of facility‑based and provider‑based clinical documentation and medical necessity.
• Maintain a working knowledge of HIPAA and CMS regulations.
• Participate in planning and scheduling of compliance projects.
• Research compliance related questions upon request from departments and/or practices.
• Identify and report potential audit and compliance risks.

• Bachelor’s Degree is required.
• Equivalent of 5+ years’ experience in nursing, compliance auditing, clinical chart reviews, medical necessity review/auditing, revenue integrity, and/or compliance department operations/regulations.
• Certification (at least one of the following) and maintained as a condition of employment:
  Certified in Healthcare Compliance (CHC);
  Certified in Healthcare Privacy Compliance (CHPC).
• In‑depth knowledge of compliance and privacy regulations.
• Must be proficient in CMS Conditions of Participation, CMS Conditions of Payment, and Inpatient and Outpatient Prospective Payment System. Strong analytical and communication skills.
• Candidates who do not hold a CHC will be given consideration but will need to obtain the CHC within 2 years of their hire date with the company.
• Experience in compliance and privacy auditing techniques and methods preferred, but not required.

Must maintain current CCB certification.

• Full Medical, Dental, Vision and other insurance benefits.
• 403(b) with an employer match.
• Diverse and Inclusive culture.
• Generous paid time off with annual roll‑over and opportunities to cash out.
• 12 week paid parental leave.

Headquartered in Wilmington, Delaware, Christiana Care is one of the country’s most dynamic health systems, centered on improving health outcomes, making high‑quality care more accessible and lowering health care costs. Christiana Care includes an extensive network of outpatient services, home health care, medical aid units, two hospitals (1,227 beds), a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women’s health.

Christiana Care is a not‑for‑profit teaching health system with more than 260 residents and fellows. We are continually ranked by US News & World Report as a Best Hospital.

$68,161.60 - $ per year.

Christiana Care offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. Christiana Care is an equal opportunity employer, firmly committed to prohibiting discrimination. The staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

Jan 10, 2026

Mid–Senior level

Full‑time

Finance and Sales

Hospitals and Health Care