62 auditor jobs found

Work Location: Atlanta, GA Salary: Based on experience and will be discussed with the manager in the interview. Your Role: As an Environmental Compliance Auditor, you will play a crucial role in ensuring environmental standards are upheld and regulations are met. We are looking for a detail-oriented professional who can work independently and collaboratively with our team. Duties/Responsibilities: Perform thorough compliance audits of Developer-performed environmental inspections and documentation. Review Environmental Compliance Reports, inspection logs, and corrective action records from the Developer for precision and thoroughness. Verify effective implementation of approved Comprehensive Environmental Protection Plan (CEPP), Stormwater Pollution Prevention Plans (SWPPPs), and erosion/sediment control measures. Conduct field inspections to assess environmental practices and ensure compliance with applicable permits, including NPDES, Section 404/401....

Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including...

divh2Overview/h2pBe inspired. Be valued. Belong./ppAt Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:/pulliComprehensive health benefits that start day 1/liliStudent Loan Repayment Assistance Reimbursement Programs/liliFamily-focused benefits/liliWellness incentives/li/ulpOngoing mentorship, development, leadership programs...and more!/ph2Description/h2pWe are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will:/pulliReviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition./liliReviews...

Physician Compliance Auditor Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal...

Professional Coding Auditor/Consultant PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA's Revenue Integrity team in a professional coding auditor role. Responsibilities: Responsible for the accurate review of PYA clients' professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education (generally, conducted remotely). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, preferably including...

Work Location: Atlanta, GA Salary: Based on experience and will be discussed with the manager in the interview. Your Role: As an Environmental Compliance Auditor, you will play a crucial role in ensuring environmental standards are upheld and regulations are met. We are looking for a detail-oriented professional who can work independently and collaboratively with our team. Duties/Responsibilities: Perform thorough compliance audits of Developer-performed environmental inspections and documentation. Review Environmental Compliance Reports, inspection logs, and corrective action records from the Developer for precision and thoroughness. Verify effective implementation of approved Comprehensive Environmental Protection Plan (CEPP), Stormwater Pollution Prevention Plans (SWPPPs), and erosion/sediment control measures. Conduct field inspections to assess environmental practices and ensure compliance with applicable permits, including NPDES, Section 404/401....

Work Location: Atlanta, GA Salary: Based on experience and will be discussed with the manager in the interview. Your Role: As an Environmental Compliance Auditor, you will play a crucial role in ensuring environmental standards are upheld and regulations are met. We are looking for a detail-oriented professional who can work independently and collaboratively with our team. Duties/Responsibilities: Perform thorough compliance audits of Developer-performed environmental inspections and documentation. Review Environmental Compliance Reports, inspection logs, and corrective action records from the Developer for precision and thoroughness. Verify effective implementation of approved Comprehensive Environmental Protection Plan (CEPP), Stormwater Pollution Prevention Plans (SWPPPs), and erosion/sediment control measures. Conduct field inspections to assess environmental practices and ensure compliance with applicable permits, including NPDES, Section 404/401....

divh2Coder Quality Auditor/h2pThe 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./ppJob Responsibilities:/pulliQuality 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...

Overview Be inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs...and more! Description We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will: Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. Reviews discrepancies...

Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, and leadership programs And more Description Overview: Reporting to the Director, the Sr. Compliance Auditor, develops and executes audit, monitoring, and education for both facility and professional billing, coding and documentation programs that ensure compliance with regulatory standards across Physician Services. Continuously evaluates facility/professional billing compliance activities to assess...

Compliance Auditor & Billing Analyst Oncology McKesson is an impact?driven, Fortune 10 company that touches virtually every aspect of healthcare. We focus on the health, happiness, and well?being of you and those we serve we care. Title: Compliance Auditor & Billing Analyst Oncology Hub Locations : Atlanta, GA; Columbus, OH; Dallas, TX (Preferred) Onsite/Remote/Hybrid: REMOTE position Certification : Active CPC/COC/or ROCC certification (REQUIRED) Industry Experience : Healthcare background (REQUIRED) Experience : 4+ years healthcare coding experience using CPT, ICD?10?CM, HCPCS, and E/M (REQUIRED) Position Description Under minimal supervision, the Health Care Coding & Billing Analyst performs data?driven coding and billing reviews, validates reimbursement accuracy, and assesses compliance with federal and state regulatory requirements. The analyst supports Network practices through audit activities, data interpretation, coding...

Within the Regulatory Affairs and Compliance department, we are looking to fill immediately on a unlimited basis a Quality and Regulatory Compliance Auditor (x|f|m) at the locations in Goettingen (Germany) or in Aubagne (France) or Royston (UK). In this position you are responsible for steering and management of bioprocess solution (BPS) operations business unit level quality audit programm across all relevant sites, specialist input towards the regulatory affairs team and processes requiring governmental or other relevant external compliance related communications and approvals, including the filing of necessary applications and handling all required interactions. The goal is to ensure regulatory requirements are fulfilled in comprehensive manner within the business unit and so to shape the future with us The job is to be filled full-time and is performed remotely on some days as well as on site. Grow with us - Your Responsibilities In this position you take an...

Compliance Auditor & Billing Data Analyst - Oncologyhub McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Title: Compliance Auditor & Billing Data Analyst - Oncologyhub Locations: Atlanta, GA; Columbus, OH; Dallas, TX (Preferred) Onsite/Remote/Hybrid: Remote Position Position Description: Under minimal supervision, the Health Care Coding & Billing Data Analyst is responsible for performing data-driven coding and...

We are seeking an experienced Internal ISO Compliance Auditor to support an upcoming internal ISO audit occurring in March. This contract role will focus on ensuring all documentation, processes, and compliance items are current and auditready. After the March audit, the consultant will assist with corrective actions, updates, and responses to the auditor. This role is ideal for a quality professional with hands-on ISO audit experience who is comfortable working on the production floor and guiding auditors through the facility. Review, update, and validate all documents, records, and processes to ensure they are current and compliant ahead of the internal ISO audit. Serve as the on-site point of contact for the auditor during the March audit. Walk the auditor through the facility and support all auditor requests. Provide all required documentation, evidence, and quality records during the audit. Identify any gaps or findings and assist in developing corrective actions...

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Title: Compliance Auditor& Billing Analyst - Oncology Hub Locations : Atlanta, GA; Columbus, OH; Dallas, TX (Preferred) Onsite/Remote/Hybrid: REMOTE position Certification : Active CPC/COC/or ROCC certification (REQUIRED) Industry Experience : Healthcare background (REQUIRED) Experience : 4+ years healthcare coding experience using CPT, ICD10CM,...

A leading healthcare organization is looking for a Compliance Auditor & Billing Analyst to conduct audits, coding, and billing reviews for healthcare compliance. The successful candidate will require at least 4 years of healthcare coding experience and an active certification. This fully remote position emphasizes analytical skills and collaboration with clinical staff to ensure regulatory adherence. Working knowledge of coding guidelines and analytical tools such as SQL is essential for success in this role. #J-18808-Ljbffr

Description WHAT IT'S LIKE AT SGMC HEALTH Purpose . No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place. Excellence . We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service. Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment. Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides. WHY YOU WILL LOVE SGMC HEALTH SGMC has great benefit options, depending on the role that you are going into- including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities...

DRG Coding Auditor Principal _Virtual: _ _ ​_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates...

Exciting Compliance Opportunity in Financial Services Position: Senior Compliance Auditor Location(s): Atlanta: 2300 Windy Ridge Pkwy SE, Suite 750, Atlanta, GA 30339 La Vista: 12325 Port Grace Blvd, La Vista, NE 68128 Oakdale: 7755 3rd St. N, Oakdale, MN 55128 Scottsdale: 18700 N Hayden Rd, Suite 255, Scottsdale, AZ 85255 St. Petersburg: 877 Executive Center Dr. W, Suite 300, St. Petersburg, FL 33702 Qualified remote applicants will be considered for this role. Role Type: Full-time Salary: $74,000 - $80,000 per year + annual bonus The actual compensation offered will depend on individual job-related factors such as location, skills, licensure, experience, and education. Osaic provides a comprehensive compensation package including health, vision, dental insurance, 401k, paid time off, volunteer days, and more. Visit our careers page for additional benefits information. Summary: Join Osaic as a Senior Compliance Auditor in our Branch Exam...

A major healthcare company is seeking a Compliance Auditor & Billing Analyst in Atlanta, GA. This remote position requires 4+ years of healthcare coding experience and active CPC certification. Responsibilities include conducting audits, maintaining coding guidelines, and collaborating with clinical staff. The role offers a competitive salary range of $75,800 - $126,300. Applicants must be authorized to work in the US. Join a committed team focused on improving healthcare delivery. #J-18808-Ljbffr

Compliance Auditor & Billing Analyst – Oncology McKesson is an impact‑driven, Fortune 10 company that touches virtually every aspect of healthcare. We focus on the health, happiness, and well‑being of you and those we serve – we care. Title: Compliance Auditor & Billing Analyst – Oncology Hub Locations : Atlanta, GA; Columbus, OH; Dallas, TX (Preferred) Onsite/Remote/Hybrid: REMOTE position Certification : Active CPC/COC/or ROCC certification (REQUIRED) Industry Experience : Healthcare background (REQUIRED) Experience : 4+ years healthcare coding experience using CPT, ICD‑10‑CM, HCPCS, and E/M (REQUIRED) Position Description Under minimal supervision, the Health Care Coding & Billing Analyst performs data‑driven coding and billing reviews, validates reimbursement accuracy, and assesses compliance with federal and state regulatory requirements. The analyst supports Network practices through audit activities, data interpretation, coding validation, and...