19 compliance auditor jobs found in Sioux Falls, SD

Job Title: Compliance Auditor Job Description The Compliance Auditor will play a crucial role in supporting compliance leadership by assisting in the creation and maintenance of compliant procedures and reference materials. This position requires auditing transaction closings, verifying licensing requirements, conducting internal audits, and performing risk assessments. The auditor will also manage vendor risk processes, recommend policy updates, oversee content, and support compliance training. Responsibilities Assist the Chief Compliance Officer and Compliance Manager in maintaining compliant procedures and reference materials. Review transaction closings to ensure compliance with procedures and state licensing requirements. Regularly verify licensing requirements for referral partners in California, South Dakota, and other applicable states. Help implement and perform audits under the Internal Audit Program. Assist in identifying compliance risks and tracking...

Compliance Auditor Reports to: Compliance Manager Classification: Full time, Hourly JOB DESCRIPTION Summary/Objective This position is an entry-level position, responsible for monitoring compliance with ECG policies, related procedures, training materials, and operational tracking reports. The Compliance Auditor will assist the Chief Compliance Officer and Compliance Manager in developing an Internal Audit Program, will share responsibility for implementation of the Internal Audit Program under the direction of the Compliance Manager, will share responsibility for the Vendor Risk Management Program under the direction of the Compliance Manager, and will perform such related tasks as may be determined to be in the interest of the company from time to time. Essential Functions Assist the Chief Compliance Officer, Compliance Manager and members of senior management in developing, updating, and maintaining compliant Procedures and compliant reference materials,...

Vendor Compliance Auditor JOB SUMMARY: This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying any deviations. SUPERVISORY RESPONSIBILITIES: None ESSENTIAL FUNCTIONS: Responsibilities: Observe the quality of loads on arrival Review loads for violations Identify and document root causes through tablet procedures Communicate violations by gathering up to 30 photographs using multiple angles if necessary Validate information prior to reporting violations QUALIFICATIONS: education and/or experience: High school diploma knowledge, skills and abilities: Demonstrated interpersonal and communication skills (written and verbal) Attention to detail Familiarity with pallet building standards Demonstrated commitment to safety standards physical requirements: Ability to work in a warehouse environment (concrete floors, changing temperatures) Ability...

Job Summary: This role involves monitoring and evaluating hand hygiene practices among healthcare workers to ensure adherence to infection prevention standards. The auditor collects data through direct observation, offers constructive feedback to staff for improvement, and uploads audit information for reporting purposes. This part-time position is designed to create a pool of auditors available primarily for weekend and evening shifts. Essential Responsibilities Observation and Data Collection: Perform direct observations of hand hygiene practices by staff, patients, and visitors across various clinical environments. Observe a range of healthcare professionals including nurses, therapists, physicians, surgeons, and support personnel. Utilize electronic devices or paper audit sheets to accurately document techniques and compliance rates. Compliance Monitoring: Evaluate hand hygiene adherence at individual, departmental, unit, and shift levels. Identify areas for...

Job Summary: This role involves monitoring and evaluating hand hygiene practices among healthcare workers to ensure adherence to infection prevention standards. The auditor collects data through direct observation, offers constructive feedback to staff for improvement, and uploads audit information for reporting purposes. This part-time position is designed to create a pool of auditors available primarily for weekend and evening shifts. Essential Responsibilities: Observation and Data Collection: Perform direct observations of hand hygiene practices by staff, patients, and visitors across various clinical environments. Observe a range of healthcare professionals including nurses, therapists, physicians, surgeons, and support personnel. Accurately record observations using electronic devices or paper audit sheets, noting technique and compliance rates. Compliance Monitoring: Evaluate hand hygiene compliance at individual, departmental, unit, and shift levels. Identify...

Physician Coding Auditor This is a full-time, remote position that offers a flexible schedule. Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding/auditing policies and expectations set forth by department management. Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. Candidates ideally have recent auditing experience specializing in some of the following profee areas: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery, Dental, Complex Plastic Surgery, Orthopedic Surgery, Peds...

Multispecialty Surgery Coder II The Multispecialty Surgery Coder II will code for multispecialty surgery physicians primarily single path coding. Multi-specialty surgical coding experience, any trauma, urology, ENT, plastics, gen surg, OB/GYN, cardiovascular, interventional radiology, etc. Ability to extract data and apply appropriate ICD-10 diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM official guidelines for coding and reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve...

Quality Auditor Supervisor - 1st Shift Logistics at full potential. At GXO, we're constantly looking for talented individuals at all levels who can deliver the caliber of service our company requires. You know that a positive work environment creates happy employees, which boosts productivity and dedication. On our team, you'll have the support to excel at work and the resources to build a career you can be proud of. 1st Shift, Monday - Friday, 8:00am - 5:00pm Role Responsibilities The Quality Auditor Supervisor is responsible for overseeing and conducting internal audits to ensure compliance with quality standards, processes, and procedures. This role may involve leading a team of auditors, supporting the development audit schedules, analyzing audit findings, reporting out results, reviewing and approving corrective actions to improve processes. Daily Duties Team Leadership: Supervise, train, and mentor a team of quality auditors. Audit Planning: Develop and execute...

Inpatient Medical Coding Auditor As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review ICD-10 inpatient patient records for accuracy and compliance Review physician documentation to verify diagnosis and procedures Communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process Assign accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, 3M, in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance Perform Peer Reviews of Company Health Information Management coding auditors and coders Assure that services provided to Clients of Company are current and up-to-date with industry standards...

Inpatient Medical Coding Auditor As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review ICD-10 inpatient patient records for accuracy and compliance Review physician documentation to verify diagnosis and procedures Communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process Assign accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, 3M, in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance Perform Peer Reviews of Company Health Information Management coding auditors and coders Assure that services provided to Clients of Company are current and up-to-date with industry standards...

Coder Quality Auditor The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines. Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts. Performs initial baselines as well as quarterly performance quality assurance reviews to assess coders'...

Coder Siouxland Community Health Center has an opening for a: Coder Position in Our Billing Department One full-time position available. This position may be remote or work from home. Education, Training, and Skills: High school diploma or GED equivalent. CCS, CCS-P or CPC certification or equivalent work experience; or ability to become certified within 6 months of hire. Minimum of two years of coding experience using CPT with the most recent coding requirements. Willingness to participate in continued education courses to obtain or maintain certification. Advanced computer and data entry skills. Math acuity. General Functions of Position: Assign appropriate evaluation/management levels for professional services. Review patient medical records to assign codes for diagnoses, treatments, surgical procedures, and nonsurgical procedures for services. Maintains a working knowledge of CPT and ICD 10 CM coding principles, governmental regulations, protocols, and...

Coder Position Siouxland Community Health Center has an opening for a Coder Position in our Billing Department. This position may be remote or work from home. Education, Training and Skills: High school diploma or GED equivalent. CCS, CCS-P or CPC certification or equivalent work experience; or ability to become certified within 6 months of hire Minimum of two years of coding experience using CPT with the most recent coding requirements. Willingness to participate in continued education courses to obtain or maintain certification Advanced computer and data entry skills Math acuity General Functions of Position: Assign appropriate evaluation/management levels for professional services. Review patient medical records to assign codes for diagnoses, treatments, surgical procedures, and nonsurgical procedures for services. Maintains a working knowledge of CPT and ICD 10 CM coding principles, governmental regulations, protocols, and third-party requirements pertaining to...

Job Description Job Description:\n\nDescription: Position Summary: CODER: Reviews medical documentation from physicians and other healthcare providers. Assigns diagnostic and procedure codes for inpatient, outpatient, symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. Provides accurate and timely ICD-10 CM and CPT procedure coding, and may utilize HCPCS, in accordance with official coding standards, regulatory coding compliance guidelines and company procedures. Review and update medical record documentation to accurately reflect healthcare coding and substantiate appropriate service reimbursement. Working with other departments and organizations to assure availability and quality of information used in statistical reporting for local facility management and helping identify overall healthcare trends, issues and concerns. Follow up of coding denials and regular maintenance of coding work queues. INSURANCE APPLICATION...

Medical Records Technician (Coder) Position Summary: MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. Responsibilities: This position requires the incumbent to physically report for work to the Fort Meade SD VAMC. Major duties include, but are not limited to, the following: Supervisory MRTs (Coder) are responsible for supervising coding staff at the facility level. Supervisory MRTs(Coder) must be able to perform all duties of a MRT (Coder). Responsible for program management of a coding section/unit to ensure performance monitors are established and met. Perform a full range of supervisory responsibilities, to include evaluating the performance of subordinate staff, approving sick and annual leave requests, identifying educational or training needs, and...

Description Job Description: Full-time Coding Auditor/Educator position in the Health Information Management department. Responsible for auditing coding accuracy and documentation quality across the organization. This role provides ongoing education to coders and partners with the HIM Leader to develop and deliver provider education that supports accurate clinical documentation, compliant coding, and optimal revenue cycle performance. Must have a minimum of 3 years coding experience and be proficient in ICD-10, CPT, and HCPCS coding for inpatient and outpatient hospital encounters and multispecialty clinics. Position requires AAPC or AHIMA coding credential or equivalent. Knowledge of EPIC and 3M preferred but not required. Hours are Monday-Friday 8:00am-4:30pm with opportunity to work flexible daytime hours remotely upon completing training. Provided Benefits: IPERS Short-Term Disability (Employer Paid Coverage)- New York Life Basic Life and...

Job Posting Performs detailed work involved in the analysis and coding of health information for hospital facility services. Schedule: Monday-Friday. Flexible 8-hour shift between the hours of 6a-6p. Major Responsibilities & Duties: Responsible for thorough and accurate coding of diseases and procedures of each inpatient/hospital record through the use of ICD-10-CM and ICD-10-PCS coding manual and 3M encoder to ensure correct assignment of the Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.) Responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission, (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided. Responsible to assist with writing appeals or resolving coding & reimbursement issues with Pt Financial Services staff and...

Job Description Job Description OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today! Position Summary: The Hospital Medical Coder , meticulously analyses patient chart documentation and translates the extracted information into standardized medical codes for the facility component. This role needs to be detailed oriented and knowledgeable of coding guidelines. Position details Status Full-Time Shift Days FTE / Hours 1.0 / 40 Schedule Mon - Fri: 8:00am - 5:00pm Position Requirements Education : High School Diploma or GED required. Licensure:...

Job Description Job Description Join our dynamic healthcare team as a Medical Billing and Coding Specialist, where your expertise will drive accurate reimbursement processes and ensure seamless management of medical records. In this vital role, you will interpret clinical documentation, assign appropriate codes, and facilitate efficient billing procedures that support high-quality patient care. Your proactive approach and attention to detail will contribute to the financial health of the organization while maintaining compliance with industry standards. If you thrive in a fast-paced environment and are passionate about healthcare accuracy, this is your opportunity to make a meaningful impact! Review and analyze medical records to accurately assign ICD-10 diagnosis codes, CPT (Current Procedural Terminology) procedure codes, for office and outpatient services. Ensure all billing information aligns with medical documentation, verifying completeness and correctness...