176 auditor jobs found

Shift: 3rd Shift 12am Compensation: $18/hr 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 #CB Capstone Logistics, LLC is part of The Transportation and Logistics industry which has been designated a "Critical Infrastructure Segment". As a "critical infrastructure industry" worker in the Transportation and Logistics industry, associates are considered exempt from local restrictions such as curfews, shelter‑in‑place orders, and other mobility restrictions when reporting to, returning from, or...

CVS Health is seeking a Program Integrity Auditor to review medical, behavioral, transportation, and other provider records for correct coding and documentation, ensuring regulatory standards are met. You will identify aberrant billing patterns, report findings, and assist with education, recoupment, and regulator referrals, while coordinating audit documentation and preparing regulator deliverables. Qualifications include 3–5 years in claims data review and medical records interpretation, #J-18808-Ljbffr

Job Description Job Description Overview Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based rehabilitation. Who We Are: GEO provides complementary, turnkey solutions for numerous government partners worldwide across a spectrum of diversified correctional and community reentry services. From the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes. Why Work for GEO: We believe that work is more than a place you go to every day. It is about being inspired and motivated to achieve extraordinary things. Employee benefits play an...

Capyear is seeking a Clinical Research Auditor & Quality Assurance Analyst to ensure compliance with research regulations and conduct audits of clinical studies. The ideal candidate will have a Bachelor's degree in a relevant field along with clinical and research experience. Responsibilities include analyzing data integrity, preparing comprehensive reports, and providing training for research staff. This position requires excellent communication and interpersonal skills, and a familiarity with Clinical Trial Management Systems. Salary is commensurate with experience. #J-18808-Ljbffr

We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers. This process includes clinical judgment, utilization review, application of product benefits, understanding of regulatory requirements for Medicaid managed care and fraud and abuse, and verification of medical necessity utilizing nationally recognized criteria. Think you've got what it takes? Job Duties & Responsibilities • Assess the treatment plan, clinical information, and medical necessity of all requested services • Utilizes established criteria to appropriately review billed services within established timeframe required. • Consults with medical directors and clinical staff regarding patient's history and current care needs and whether services billed were appropriate. • Refers case failing medical...

Medical Compliance Auditor We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers. This process includes clinical judgment, utilization review, application of product benefits, understanding of regulatory requirements for Medicaid managed care and fraud and abuse, and verification of medical necessity utilizing nationally recognized criteria. Think you've got what it takes? Job Duties & Responsibilities Assess the treatment plan, clinical information, and medical necessity of all requested services Utilizes established criteria to appropriately review billed services within established timeframe required. Consults with medical directors and clinical staff regarding patient's history and current care needs and whether services billed were appropriate....

The Company NorthMark Compute & Cloud (NMC²) is backed by dedicated leadership and investment, with a clear mission as it operates at the bleeding edge of technology. Its goal is to scale and enhance the high-performance computing (HPC) and cloud infrastructure that supports its clients’ research, production, and delivery, enabling breakthroughs that shape the industries of tomorrow. Its engineers build critical infrastructure to eliminate friction in scientific research, simulations, analysis, and decision-making, accelerating discovery and driving faster innovation. NorthMark Compute & Cloud (NMC²) is backed by dedicated leadership and investment, with a clear mission as it operates at the bleeding edge of technology. Its goal is to scale and enhance the high-performance computing (HPC) and cloud infrastructure that supports its clients’ research, production, and delivery, enabling breakthroughs that shape the industries of tomorrow. Its engineers build critical...

Job Title Healthcare Compliance Auditor Job Description This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Essential Functions Conduct prospective and retrospective chart reviews comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings and recommendations to compliance and...

Trustmark National Bank in Houston, TX, is seeking a Senior Auditor of Compliance to join its Compliance Audit team. The role focuses on independent assessment of regulatory adherence and effectiveness of risk controls across deposit and lending processes. You will perform walkthroughs, testing, and reporting, develop findings, and communicate clearly with management. The position requires 3–4 years of audit experience, strong GAAP knowledge, and the ability to multi-task and meet deadlines. #J-18808-Ljbffr

Remote Inpatient Coding Auditor Review of IP & APR/DRG Codes to determine Coding Quality and accuracy of IP Acute Care records. Minimum Required Qualifications: CCS, RHIT, RHIA or CPC-H. 5+ years IP Auditing experience, 3-5 years IP coding exp. Preferred Qualifications: Large System exp auditing for a variety of facility types and hospital based clinics. Length of Assignment: Ongoing Shift / Hours Per Week: 20+ Systems: EPIC, 3M 360 Start Date 8/31/26

Basic Function HF Sinclair Midstream is seeking a Compliance Auditor Lead. The position is open to Dallas, TX; Tulsa, OK; Artesia, NM or Salt Lake City, UT. The Compliance Auditor Lead ensures compliance with regulations and conducts moderate to complex regulatory compliance and auditing assignments for assigned areas under general supervision. Job Duties Reviews, interprets, and ensures compliance with applicable federal, state, and local regulatory requirements for all assigned locations. Plans, conducts, and leads regulatory compliance and operational risk‑based audits, including evaluations and review of internal policies and procedures of the company operations. Serves as the primary liaison to regulatory agencies and as the Company's point of contact for general inquiries, audits, and on‑site evaluations. Leads and coordinates follow‑up activities associated with regulatory inspections, audits, and enforcement actions by tracking corrective actions, conducting gap...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience 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...

Capstone Logistics, LLC in Amarillo, TX is seeking a Load Quality Auditor to ensure the quality of incoming loads and verify adherence to established standards. The role involves inspecting shipments, identifying deviations, and documenting findings for resolution. The ideal candidate will observe loads on arrival, review for violations, and accurately capture root causes with photos when needed, then validate information prior to reporting violations. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience 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...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience 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...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

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

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience 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...

UT Health San Antonio is seeking a Quality Assurance Auditor to support audits of SUD and related programs across Texas, with extensive travel and a mix of office/remote work. You will verify compliance with HHSC regulations, contract requirements, and TAC standards; produce clear audit reports; issue deficiency notices; and collaborate with providers to develop and monitor Performance Improvement Plans. #J-18808-Ljbffr

Save this job Email Tweet Facebook LinkedIn Description The St. Anthony Hotel is seeking a Night Auditor to join our team. The Night Auditor is responsible for balancing room, restaurant, and bar work, post and balance charges and settlements, and maintain files and reset the systems for next day operations. Situated in the heart of downtown, overlooking Travis Park, the AAA Four Diamond, St. Anthony Hotel offers easy access to the trendy restaurants and historical landmarks in San Antonio, Texas. St. Anthony, a Luxury Collection Hotel San Antonio, opened in 1909 and has been designated a national historic site. Our luxury hotel in San Antonio embodies old-world splendor with touches like Italian marble and Corinthian columns. Come make history with this luxury San Antonio hotel. We Are Committed To Providing You With Highly competitive wages An exceptional benefit plan for eligible associates & your family members 401K matching program for eligible associates Flexible...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience 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...

DOCUmation in San Antonio, TX is seeking a Contract Billing Auditor Specialist to ensure compliance with billing procedures and pricing. You will audit completed deals and invoices to improve accuracy and efficiency daily. The ideal candidate will have 3-5 years of experience in Contract Administration and possess strong analytical skills. This role requires attention to detail, communication abilities, and proficiency in Microsoft Office. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience 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...