NACBA

Description The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider-coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Summary Conducts audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD-10-CM, and modifier assignment. Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Fl AHCA / Medicaid, and CMS regulatory requirements. Monitors professional fee vendor‑coding services to...

CVS Health is seeking a Healthcare Records Auditor to perform audit and abstraction of medical records for CMS risk adjustment, ensuring accuracy and regulatory compliance. You will review physician documentation, assign diagnoses, and verify support in records, working to meet strict project deadlines while adhering to CMS and internal policies. This role emphasizes accuracy, accountability, and quality in a care-driven environment. #J-18808-Ljbffr

CVS Health in Kentucky is seeking a qualified Medical Records Auditor/Coder to perform abstraction of medical records and assign ICD codes for CMS risk adjustment, ensuring accuracy and compliance. The role requires CPC or CCS-P credentials, 1 year of experience, proficiency with MS Office, and knowledge of ICD guidelines; the team offers comprehensive benefits and a collaborative environment. #J-18808-Ljbffr

CVS Health is seeking a Medical Records Auditor to perform audit and abstraction of medical records to identify and submit ICD codes for CMS risk adjustment, ensuring accuracy and compliance. The role requires CPC/CCS-P certification and 1 year of relevant experience, with a focus on meeting regulatory guidelines and timelines in a full-time setting. Competitive benefits are included. #J-18808-Ljbffr

CVS Health is seeking a skilled medical records auditor to perform chart reviews and abstract ICD codes for CMS risk adjustment. You will ensure accuracy and compliance with state and federal regulations while supporting coding decisions with evidence from records. Responsibilities include applying guidelines, identifying active vs historical conditions, meeting tight deadlines, and conducting self-audits to maintain quality within our healthcare operations. Strong CPC/CCS-P credentials required. #J-18808-Ljbffr

CVS Health is seeking a dedicated coder/auditor to review medical records and abstract ICD codes for CMS risk adjustment. The role ensures codes are accurate, documented, and compliant with state and federal regulations. The position requires CPC/CCS-P credentials, 1+ year of related experience, and proficiency with ICD coding and Microsoft Office. Full-time, on-site, with a strong benefits package. #J-18808-Ljbffr

NACBA is seeking a Senior Billing Compliance Auditor located in Miami, Florida. This role involves conducting audits of NCPS professional fee encounters, ensuring compliance with federal and state coding and documentation requirements. The ideal candidate will have at least 7-10 years of experience in coding and compliance, along with a Certified Professional Coder designation. Responsibilities include preparing audit trends, collaborating with administrators, and maintaining compliance standards. #J-18808-Ljbffr

CVS Health is seeking a Medical Records Auditor to perform audits and abstract medical records, ensuring ICD codes are accurate and compliant with CMS, OIG, and state/federal regulations. Role requires CPC/CCS-P certification, at least 1 year of related experience, and proficiency with Microsoft Office and coding applications. Full-time, on-site position offering competitive benefits and schedule consistency. #J-18808-Ljbffr

NACBA seeks a dedicated medical records auditor to perform abstraction and ICD coding for risk adjustment, using physician documentation and industry standards. You will ensure accuracy, compliance, and timely submission of codes in a professional clinical setting. Qualified candidates have at least 1 year of related experience, CPC/CCS-P certification, and proficiency in ICD coding and MS Office. This is a full-time, on-site role with comprehensive benefits and a focus on accurate clinical #J-18808-Ljbffr

CVS Health is seeking a Program Integrity Auditor to review medical and behavioral health records to ensure accurate coding and documentation. The role involves audits across Medicaid lines, identifying FWA, and coordinating regulator reporting with a focus on compliance and education for providers. Qualifications include 3–5 years in claims data review and medical records, CPT/HCPCS/ICD-10 proficiency, and an active CPC/CCS/CPMA license. 40-hour workweek and comprehensive benefits offered. #J-18808-Ljbffr

NACBA is seeking a full-time Medical Records Auditor to perform audit and abstraction of medical records to identify and submit ICD codes for CMS risk adjustment, ensuring accuracy and compliance with state and federal regulations. Responsibilities include supporting coding judgments, auditing for medical necessity, distinguishing active vs historical conditions, meeting project deadlines, and performing self-audits to align with CMS, OIG, and internal policies. #J-18808-Ljbffr

This position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured for the level of service rendered. Provides ongoing education to coders, physicians, and other clinical staff. The incumbent serves in an advisory and educator role for coding and regulatory compliance. Responsibilities Essential Functions Reviews inpatient medical records post-discharge and pre-bill, audits the accuracy and completeness of diagnoses, procedure coding, abstracted data and DRG assignment. Reviews non-CC/MCC records to determine if the record was coded correctly or if additional codes may be reported by obtaining documentation supported by clinical indicators and treatment. Develops and coordinates coding education and formal training programs. Improves documentation by participating in the CDI query audit process. Works effectively with the Coding Manager to improve...

CVS Health is seeking a Program Integrity Auditor to review medical, behavioral, transportation, and other provider records to ensure proper coding and documentation. The role supports audits for Medicaid lines of business, identifies aberrant billing patterns, and coordinates documentation for internal and external staff. A CPC/CCS/CPMA license is required to qualify. Qualifications include 3–5 years in claims review and coding (CPT/HCPCS/ICD-10), associate degree or equivalent, and a 40-hour #J-18808-Ljbffr

CVS Health is seeking a full‑time Medical Records Auditor to perform audit and abstraction of medical records for ICD coding used in CMS risk adjustment. You will ensure codes are accurate, well-documented, and compliant with state and federal rules. The role requires 1 year of related experience, CPC/CCS-P certification, and proficiency with ICD coding. Strong organizational skills and adherence to deadlines are essential. #J-18808-Ljbffr

CVS Health is seeking a Medical Record Auditor to perform audit and abstraction of medical records to identify and submit ICD codes for CMS risk adjustment. You will ensure codes are accurate and supported by clinical documentation across provider or vendor settings. The role requires CPC/CCS-P certification, 1 year of related experience, and proficiency with Microsoft Office and coding applications. You will work to meet strict deadlines and support regulatory compliance. #J-18808-Ljbffr

CVS Health is seeking a Medical Records Auditor to perform audits and abstract medical records, ensuring ICD codes are accurate and compliant with CMS, OIG, and state/federal regulations. Role requires CPC/CCS-P certification, at least 1 year of related experience, and proficiency with Microsoft Office and coding applications. Full-time, on-site position offering competitive benefits and schedule consistency. #J-18808-Ljbffr

NACBA in Shreveport, Louisiana is seeking a consulting team member to manage coding quality projects and provide education on coding to healthcare professionals. The ideal candidate will have at least 5 years of coding experience in healthcare settings, along with various health information certifications. This position requires strong communication and analytical skills, including proficiency in Microsoft Office. The role also entails participating in revenue cycle assessments and mentoring team members. #J-18808-Ljbffr

Nexstar Media Group is seeking an Internal Auditor to assist in executing Internal Audit activities with a primary focus on supporting the annual Sarbanes-Oxley (SOX) compliance program. The role involves updating process docs, narratives, flowcharts, risk/control matrices, and coordinating with control owners and external auditors. Junior candidates with 0–2 years in audit, accounting, or related fields are encouraged to apply. #J-18808-Ljbffr

CVS Health is seeking a Program Integrity Auditor to review medical, behavioral health, transportation and other provider records, ensuring correct coding and documentation and adherence to regulatory standards. You will audit across Medicaid lines, identify FWA patterns, educate providers, and support regulator submissions while maintaining compliance with policies. Strong analytical skills and collaboration are essential. #J-18808-Ljbffr