59 auditor jobs found

Compliance Auditor/Educator The Compliance Auditor/Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services. Provides professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor/Educator is responsible for professional development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA departments and offices for coding and documentation regulations. This role is also responsible for responding to compliance-related coding and documentation issues via the event reporting system and managing them to proper resolution. Performs medical record integrity audits and conducts one-on-one meetings with Providers for corrective educational guidance. Essential Job Functions: Develops and leads audit projects for medical record integrity, service line or issues-related...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job...

Health Information Section (HIMS) Coding Auditor The Health Information Section (HIMS) Coding Auditor is responsible for coding and provider audits. Overseeing the appropriate coding assignment of ICD-10 CM, CPT-4, and HCPCS codes and various other duties assigned. Incumbent will also complete any coding assigned. REMOTE WORK: Position is remote work eligible and is currently on an extension for the return-to-office mandate.

Social Compliance Auditor The primary purpose of this role is to support strategic goals and execute key initiatives within the Global Social Responsibility department, advancing our mission to serve and protect the hardworking people who make our durable products. The Auditor, North America, will work closely with our Social Responsibility Senior Manager and Latin America team to ensure regional suppliers comply with Carhartt's Workplace Code of Conduct through on-site assessments and training. This position will also collaborate with internal business partners, third-party auditors, NGOs, and other stakeholders across our supply chain. Inspired by Hard Work At Carhartt, the values of hard workdependability, honesty, and trustare rooted in the legacy of our founder, Hamilton Carhartt. His commitment to serving hardworking people continues to inspire everything we do. Guided by his legacy and our mission We serve and protect all hardworking people by building durable products we...

A financial services firm in Ann Arbor is seeking a Compliance Auditor to conduct branch examinations and ensure adherence to compliance regulations. The ideal candidate will have over 2 years' experience in the securities industry and possess strong communication skills. This role involves moderate travel and includes a week of training at the Ann Arbor office. Competitive wages and additional benefits are offered. #J-18808-Ljbffr

This range is provided by Axtella. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $60,000.00/yr - $70,000.00/yr Direct message the job poster from Axtella Talent Manager | People Ops | Work-life Enhancer | Driving Business Success with HR Perspective Who We Are Axtella, LLC provides the business servicing needs to financial professionals from across the United States who choose to affiliate with either of our well-established independent investment securities broker-dealers (Sigma Financial Corporation and Parkland Securities LLC) and/or our Registered Investment Advisor (Sigma Planning Corporation). Job Description The Compliance Auditor is responsible for conducting on-site and remote branch examinations of Financial Professionals. The Compliance Auditor reports to the Audit Supervisor. The branch examination process involves the review of a branch office and all associated persons that conforms to FINRA...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Baylor Scott & White Health is seeking a Coding Auditor 1 to perform coding quality audits and provide feedback to coders. The role requires strong knowledge of ICD-10-CM/PCS, HCPCS, CPT, and related coding references to ensure accurate classification and DRG grouping. The candidate should have 5 years of coding experience with at least 1 year as a coding auditor, and must hold one of several coding certifications. This is a health system focused on quality and compliance. #J-18808-Ljbffr

Become a part of our caring community 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. Where you Come In 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 accuracy of...

Flex-N-Gate LLC. in Ionia, MI is hiring a Fork Truck Industrial Trainer & Safety Auditor to ensure safe material handling operations across the facility. Responsibilities include conducting training, performing safety audits, and supporting operational efficiency. The candidate should have 3–5 years of industrial handling experience, preferably with training background, and knowledge of safety regulations. The position ensures compliance with OSHA standards and involves hands-on equipment operation and training. #J-18808-Ljbffr

Capstone Logistics, LLC is seeking a Vendor Compliance Auditor in Canton, MI for 1st shift (5am, 6am start time). The role focuses on auditing the quality of incoming loads and ensuring compliance with established standards. You will review loads for violations, identify root causes, and document findings using tablet procedures, then communicate violations by capturing up to 30 photographs from multiple angles. #J-18808-Ljbffr

Summary The Health Information Section (HIMS) Coding Auditor is responsible for coding and provider audits. Overseeing the appropriate coding assignment of ICD-10 CM, CPT-4, and HCPCS codes and various other duties assigned. Incumbent will also complete any coding assigned. **REMOTE WORK: Position is remote work eligible and is currently on an extension for the return-to-office mandate**. Learn more about this agency Duties Help Duties of the Medical Records Technician (Coder) Auditor include but are not limited to: Performs weekly or monthly audits of outpatient encounters. Reviews results of external audits and prepares education and/or audit responses. Performs monthly audits related to VHA Directives to include in-house and contract coding audits, EPRP reviews, revenue related/CPAC audits and other coding risk areas identified by Compliance, CPAC, VISN, external auditors medical center leadership and HIMs. Researches current guidelines related to...

Capstone Logistics, LLC is seeking a Vendor Compliance Auditor to oversee incoming loads for quality and compliance. The role involves inspecting loads, identifying violations, and documenting root causes with photographic evidence when needed. Responsibilities include reviewing loads for violations, capturing up to 30 photos from multiple angles, and validating data before reporting any issues to ensure accurate compliance records. #J-18808-Ljbffr

Evolve Therapy Services, LLC is seeking a Compliance Auditor to support the therapy audit and ADR processes in SNF/ALF settings. You will review Medicare policies, ensure RAI compliance, identify trends, and educate regional teams under the Director of Compliance. This role emphasizes HIPAA compliance, documentation standards, and timely hearings. A PT/OT/SLP background and active state licenses are required to align with CMS guidelines and maintain clinical excellence. #J-18808-Ljbffr

Bilingual (Japanese-English) Compliance Auditor Lingua Science is recruiting for a direct hire position of bilingual (Japanese-English) Internal Compliance Auditor I or Internal Compliance Auditor II at a major automotive supplier in Novi, Michigan. Duties: Responsible for company assessing internal controls, risk, information security, and overall corporate governance for North American operations. Develop and implement audits to review internal compliance with laws, regulations, and industry standards, and verify adherence to corporate policies and ethical standards. Develop and implement audits to assess business operation efficiency and effectiveness. Assess the security of the company’s information systems, data, and technology infrastructure. Provide recommendations to optimize processes and productivity. Conduct reviews of operations to identify areas for improvement and cost savings. Coordinate with various groups for improvement activities and monitor progress. Create...

COMPETITIVE SALARY + FULL BENEFITS PACKAGE + UNLIMITED PTO + FAMILY ATMOSPHERE Evolve Therapy Services, LLC is a leading therapy management organization in the Long-term care industry. We may be a newer company by name, but our leadership has dozens of years of experience in therapy operations and clinical excellence for SNF/ALF providers. We are seeking a Compliance Auditor that is MOTIVATED to work for a company with an EVOLVING culture that provides a POSITIVE work and life balance. JOB SUMMARY: The COMPLIANCE AUDITOR is responsible for assisting with the therapy audit/appeals process, including but not limited to, completing therapy audits, identifying trends, providing education, and participating in Additional Documentation Request (ADR) process in accordance with state and federal guidelines and regulations. The compliance auditor will report directly to the Director of Compliance. RESPONSIBILITIES AND MAJOR DUTIES: Ensure Medicare Benefit Policy Manual process is...

What a Night Looks LikeAs our Automotive Quality Compliance Auditor on the night shift, you’ll walk the manufacturing floor of a precision machining operation, verifying that every process and product aligns with automotive and customer-specific requirements. You’ll translate standards into action—protecting product integrity, stabilizing processes, and fueling continuous improvement with the teams that make it all happen.Your Focus AreasAudit ExecutionPlan and conduct internal audits across processes, quality systems, and documentation to IATF 16949, ISO 9001, and customer-specific requirements.Lead process, product, and system audits, including layered audits and compliance assessments.Support or participate in customer, supplier, and third-party audits.Confirm implementation of control plans, work instructions, standard operating procedures, and inspection plans.Compliance and RecordsIdentify nonconformances, record findings, and manage CAPA tracking.Verify the effectiveness of...

Job Description Job Description COMPETITIVE SALARY + FULL BENEFITS PACKAGE + UNLIMITED PTO + FAMILY ATMOSPHERE Evolve Therapy Services, LLC is a leading therapy management organization in the Long-term care industry.  We may be a newer company by name, but our leadership has dozens of years of experience in therapy operations and clinical excellence for SNF/ALF providers.  We are seeking a Compliance Auditor  that is  MOTIVATED  to work for a company with an  EVOLVING  culture that provides a  POSITIVE  work and life balance. JOB SUMMARY:  The COMPLIANCE AUDITOR is responsible for assisting with the therapy audit/appeals process, including but not limited to, completing therapy audits, identifying trends, providing education, and participating in Additional Documentation Request (ADR) process in accordance with state and federal guidelines and regulations. The compliance auditor will report directly to the Director of Compliance. RESPONSIBILITIES AND MAJOR DUTIES:...

A major automotive supplier in Novi, Michigan, is seeking a Bilingual (Japanese-English) Compliance Auditor to assess internal controls and develop audits for compliance. The candidate should have a Bachelor’s degree, 2-3 years of experience in compliance auditing, and be fluent in both Japanese and English. This role involves creating audit reports and providing recommendations for operational improvements. #J-18808-Ljbffr

A leading health data platform company is seeking an Inpatient Auditing Specialist to conduct coding audits and provide coder education. This fully remote role requires 5+ years of inpatient coding experience and CCS certification preferred. The successful candidate will excel in organizational and customer service skills while ensuring compliance and accuracy in coding. Competitive pay and a supportive work environment are offered. #J-18808-Ljbffr

A leading healthcare data platform is seeking an Inpatient Auditing Specialist. This position offers remote work flexibility and requires extensive coding and auditing experience. Responsibilities include conducting inpatient coding audits, providing coder education, and preparing audit reports. Candidates should have a degree from an AHIMA-certified program and relevant certifications. Competitive pay with a signing bonus and comprehensive benefits are offered. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role ensures coding accuracy, reviews medical records, and confirms compliance with state and federal requirements. Strong documentation and communication skills are essential for presenting findings to investigators and leadership. You will audit CPT/HCPCS coding, identify potential fraud or errors, and maintain thorough records. #J-18808-Ljbffr

Solventum is seeking an Ambulatory Audit Consultant to improve healthcare coding practices. You will work directly with clients to perform audits, deliver results, and implement improvements. Preference will be given to candidates with a strong background in outpatient coding and relevant certifications. This remote position offers a salary range of $96,000 - $132,000 along with comprehensive benefits. #J-18808-Ljbffr

SGI Global, LLC is seeking a qualified Junior Compliance Officer to support a federal law enforcement client with I-9 audit support services. This role is crucial for professionals early in their careers looking to engage in federal compliance and employment eligibility verification. The position demands on-site work during core business hours without routine telework. Responsibilities include data evaluation, database research, and assisting in drafting audit-ready documentation. #J-18808-Ljbffr