65 auditor jobs found

AmeriStaff, Inc. in Martinsville, VA is seeking an experienced Business Compliance Auditor to join our team. The role focuses on conducting business compliance and taxation audits, administering licenses, and ensuring accurate financial records and reporting. You will interpret state and local tax codes, communicate requirements to taxpayers and business owners, and work with colleagues to resolve complex cases. #J-18808-Ljbffr

AmeriStaff, Inc. is currently seeking an experienced Business Compliance Auditor to fill openings with a company located in Martinsville, VA. We are looking for individuals who are energetic and motivated. Benefits of the Business Compliance Auditor: Full time. Monday-Friday. 8:30 AM - 5:00 PM. $21 - $23 per hour. Responsibilities of the Business Compliance Auditor: Conduct business compliance and taxation audits. Administer business licenses and related compliance requirements. Perform local meals tax and transient occupancy tax audits. Review business records, accounting information, and financial documentation for accuracy and compliance. Prepare financial records, reports, and related documentation. Interpret and apply applicable state and local taxation codes, ordinances, regulations, and legal requirements. Communicate taxation requirements and compliance matters to taxpayers, business owners and operators, attorneys, financial officers, colleagues, and the...

Job Title Essential Duties and Responsibilities These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned. Coordinate, supervise, and respond to third-party patient bill audits. Perform patient-requested audits in a timely manner. Perform random quality audits as schedule permits. Assist Patient Account personnel with patient questions about itemized charges. Maintain reporting systems for audit activities and identify patterns and trends in results. Act as a resource for all hospital departments regarding charging questions and issues. Routinely review inpatient and outpatient records for appropriate coding and charging. Provide educational sessions for revenue-producing departments regarding appropriate charging processes and procedures. Work cooperatively with the Patient Accounting staff and other healthcare professionals in obtaining correct HCPCS codes and modifiers. Assist the Health...

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a work-from-home Inpatient Coding Auditor with Parallon you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes and communicate them to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the medical record to support code assignments. What you will do in this role Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding...

HCA Healthcare is hiring an Inpatient Coding Auditor who will conduct internal quality assessments to ensure coding compliance and integrity. This remote role requires adept knowledge in medical coding practices and experience in coding auditing, with responsibilities across multiple healthcare facilities. Applicants should have a background in health information management, with at least three years of coding experience and preferably relevant certifications. A comprehensive benefits package, including health insurance and retirement plans, is offered. #J-18808-Ljbffr

Job Title: Senior Procurement Compliance Auditor Job Category: Contracts Time Type: Full time Minimum Clearance Required to Start: None Employee Type: Regular Percentage of Travel Required: None Type of Travel: None The Opportunity: As a Senior Procurement Compliance Auditor within the CACI's Corporate Contracts & Subcontracts Compliance team, you will play a key role in protecting and strengthening our DCMA-approved Purchasing System by performing risk based procurement file reviews, identifying compliance gaps, and driving corrective actions and process improvements. You'll partner closely with Procurement leadership, Buyers & Subcontracts Administrators, Contracts, and cross-functional stakeholders to ensure procurement actions comply with CACI's policy & procedures and applicable federal acquisition requirements. Responsibilities: Conduct pre-award and post-award procurement file audits to evaluate compliance with CACI's policies &...

Medical Auditor (Billing & Coding)Previous coding experience required Hybrid - must be able to travel by car to regional officesResponsible for conducting coding and documentation audits for assigned providers and consulting and educating providers on documentation requirements and other compliance issues related to billing.Under the direct supervision of the Billing & Coding Compliance Manager, this full-time position will work with physicians and other clinicians to ensure they comply with documentation and coding standards, regulations and requirements. This includes conducting billing and coding audits, identifying and resolving issues, and educating clinicians and staff on requirements for documenting, coding and billing medical services.Job Responsibilities and Accountabilities:Assists with monitoring of OrthoVirginia's Compliance Program as related to billing, coding, and documentation, including the OIG Compliance Program guidance for physician practices and...

## Compliance Coding AuditorApplyremote type: Remotelocations: Norfolk, VAtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR-104491**City/State**Norfolk, VA**Work Shift**First (Days)**Overview:**# Compliance Coding AuditorPerforms a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines.Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit...

Compliance Coding AuditorPerforms a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines.Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year.All queries arising from the audit process are managed...

DRG Coding Auditor - MS-DRG and 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 . Alternate locations may be considered if candidates reside within a commuting distance from an office 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. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to...

Location: This role enables associates to work virtually full-time, except for 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 if candidates reside within a commuting distance from an office. 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 accommodation is granted as required by law. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG...

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:...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

City of Alexandria, Virginia is seeking a detail-oriented Business Tax Auditor to audit businesses within the city, verify tax returns, and analyze corporate financial documentation. The role focuses on planning audits, interviewing taxpayers, and advising management on complex tax issues. The Finance Department emphasizes accuracy, collaboration, and adherence to city ordinances, with opportunities to contribute to revenue forecasting and appeals resolution. #J-18808-Ljbffr

Greenberg & Larraby, Inc. is looking for a CISA Auditor to assess and ensure the effectiveness of information systems and technology controls. This role involves auditing IT practices, identifying vulnerabilities, and recommending improvements. You will conduct comprehensive audits, prepare reports, and ensure compliance with regulations. The ideal candidate will have a CISA certification and at least 3 years of relevant experience. The position offers benefits including a health care plan and retirement plan. #J-18808-Ljbffr

Sentara Health Plans in Norfolk, VA, is seeking a Compliance Coding Auditor to perform internal coding audits, physician education, and AR query management. The role requires expertise in CCI, NCD, and HCC guidelines, and mastery of MPFS impact on RVU for NPP services. Remote work is favored for VA/NC candidates. Ideal candidates have CPC/CCS certification and 4+ years of multi-specialty coding experience, including acute care outpatient coding and professional fee coding. #J-18808-Ljbffr

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. 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...

A healthcare services provider is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves extracting clinical information from medical records and ensuring proper reimbursement for inpatient hospital claims. Ideal candidates will have at least four years of experience with RHIA, RHIT, or CCS certifications. Benefits include competitive medical, dental, and vision packages along with a 401(k) plan. This position is vital for maintaining accuracy in provider contract payments and improving overall healthcare efficiency. #J-18808-Ljbffr

Sikich LLP is seeking a Supervisory Senior Auditor in Alexandria, VA. This role leads an auditing team, conducting tests for accuracy and compliance, and requires a Bachelor’s degree and CPA certification. Candidates should have 4+ years of relevant experience, strong communication skills, and leadership abilities. Additional skills such as proficiency in Microsoft Office and problem-solving are essential. Competitive benefits include health insurance and a flexible time off policy. #J-18808-Ljbffr

A defense contractor in Virginia seeks an Auditor responsible for conducting comprehensive audits within CJIS environments to ensure compliance and data integrity. The ideal candidate will have a minimum of 5 years' experience in audits, a Top-Secret clearance w/ SCI eligibility, and strong analytical skills. Responsibilities include coordinating audits, analysis of compliance results, and engagement with various stakeholders for oversight. A bachelor's degree in a related field is preferred, along with familiarity with DoD policies. #J-18808-Ljbffr

Essential Duties and Responsibilities These duties and responsibilities represent the general tasks performed on a daily basis; other tasks may be assigned. Coordinate, supervise, and respond to third‑party patient bill audits. Perform patient requested audits in a timely manner. Perform random quality audits as scheduled. Assist Patient Account personnel with patient questions about itemized charges. Maintain a reporting system of audit activities and identify patterns and trends of results. Act as a resource for all hospital departments with charging questions and issues. Routinely review inpatient and outpatient records for appropriate coding and charging. Provide educational sessions for revenue‑producing departments regarding appropriate charging process and procedures. Work cooperatively with the Patient Accounting staff and other health‑care professionals in obtaining correct HCPCS codes and modifiers. Assist the Health Information Department with RAC requests,...

Summary With direction from the Director, the Nurse Auditor/ Senior Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient medical record and other applicable hospital documentation, assigning modifiers to appropriate claims, researching edited claims for medical necessity, and advising the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor/ Revenue Integrity Specialist works directly with revenue producing departments regarding lost charges, billing questions, and proper coding and charging. The nurse auditor reviews documentation on all Observation accounts for carve-out observation hours, the charge coding of ED Visits and Injection and Infusion charges. Essential Duties and Responsibilities Coordinate, supervise, and respond to third party patient bill audits. Perform patient requested audits in a timely manner. Perform random quality audits as schedule permits. Work and review a high volume of accounts assigned to...

Serco is seeking Medical Coding Auditing Specialists to perform audits across DHA Markets, ensuring conformity with coding policies and regulations. The role includes developing work plans, conducting targeted audits, and supporting surveillance activities for DHA-MCPB. Applicants should possess extensive coding and auditing experience, certification requirements, and familiarity with healthcare reimbursement guidelines and government regulations. #J-18808-Ljbffr