1340 compliance auditor jobs found

Medical Coding and Billing Compliance Auditor Location: Remote Division: Coding Compliance About the Role: The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy, documentation integrity, ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office applications including PowerPoint, Word, Excel, Outlook, TEAMS, and SharePoint. The Medical Coding Auditor will have a background in physician feedback and education on documentation integrity and coding accuracy. The ideal candidate will have extensive knowledge of CPT coding, ICD-10-CM coding, E/M coding, HCC methodologies, modifiers, telehealth, and HCPCS coding. The candidate will understand and know where to access...

Overview Drees Homes is a family-owned home building company with a passion for making custom homes easy. For over 95 years, we have taken care of our employees and our customers. It's why we rank as the 21st largest privately-owned builder in the country and have a track record of long-tenured employees. We're proud of being named a 2023 and 2024 U.S. Best Managed Company, a program sponsored by Deloitte Private and The Wall Street Journal, and we've been officially certified as a Great Place to Work in both 2023 and 2024. Enrich your career at a company that values integrity, excellence, opportunity, stability and success. Headquartered in Fort Mitchell, Kentucky, Drees has operations in ten metropolitan areas: Greater Cincinnati and Cleveland, Ohio; Austin, Dallas and Houston, Texas; Indianapolis, Indiana; Jacksonville, Florida; Nashville, Tennessee; Raleigh, North Carolina; and Washington, DC. Responsibilities/Qualifications First Equity Mortgage , a subsidiary of Drees...

Overview Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administrations (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all. The Compliance Auditor supports Marin Community Clinics’ compliance, risk management, and quality programs by performing independent audits, monitoring activities, and data validation to ensure adherence to federal and state regulations. This includes HRSA Health Center Program requirements, FTCA, CMS billing and documentation rules, Medi-Cal, TJC standards, HIPAA/HITECH, 42 CFR Part 2, California health laws, and internal policies. The role works closely with clinical,...

A multi-clinic network in California is seeking a Compliance Auditor to support compliance and risk management programs. The role involves conducting audits across various healthcare functions, ensuring adherence to regulations, and producing reports with findings and recommendations. The ideal candidate will possess strong analytical skills and a bachelor's degree in healthcare administration or law. A competitive benefits program, including health insurance and loan repayment, is offered. #J-18808-Ljbffr

A logistics company in Florida is seeking a Vendor Compliance Auditor to audit the quality of incoming loads and ensure compliance with established standards. The role involves observing loads on arrival, reviewing them for violations, and documenting any deviations. Strong communication skills are essential for notifying and validating violations through detailed reporting. This position operates Monday to Friday, with compensation ranging from $17.50 to $20 hourly. #J-18808-Ljbffr

Pharmacy Compliance Auditor – 340B Program Join to apply for the Pharmacy Compliance Auditor – 340B Program role at TriHealth . Job Description Play a vital role in ensuring access to affordable medications for underserved communities. Protect the integrity of the 340B Drug Pricing Program—a federal initiative that enables healthcare organizations to stretch resources and provide comprehensive care. As a Pharmacy Compliance Auditor, you’ll work closely with pharmacy leadership to conduct audits, monitor compliance, and identify opportunities for improvement. This role offers the chance to develop specialized expertise in 340B operations, gain advanced certifications, and make a meaningful impact on patient care and organizational success. Minimum Job Requirements Minimum of High School Degree or GED is required Must successfully complete Apexus 340B University within the first 6 months in the position. Advanced 340B Operations Certificate within the first 12 months....

A healthcare organization in Norwood, OH is seeking a Pharmacy Compliance Auditor for the 340B Program. This mid-senior level position involves conducting audits, monitoring compliance, and providing insights for improvement within the pharmacy operations. The candidate should have a high school diploma, relevant experience in pharmacy practices, and an interest in compliance and pharmacy practice advancement. The role offers competitive wages and the potential for career growth. #J-18808-Ljbffr

Compliance Auditor (Non-Clinical) St. Croix Hospice Join to apply for the Compliance Auditor (Non-Clinical) role at St. Croix Hospice Work Where You Matter! At St. Croix Hospice we guide patients and families through the end‑of‑life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter. Position Overview The Compliance Auditor is responsible for assisting with the development and implementation of the compliance audit program to ensure regulatory adherence, risk mitigation and operational integrity. This role ensures that St. Croix Hospice complies with federal and state laws and regulations and internal policies by identifying potential risks and working cross‑functionally to implement corrective actions. The Compliance Auditor will lead risk assessments, internal...

A healthcare organization seeks a Compliance Auditor to ensure adherence to federal and state regulations. This role involves developing compliance audit programs, conducting risk assessments, and collaborating with various departments to enhance internal controls. The ideal candidate should have compliance auditing experience, strong healthcare regulation knowledge, and the ability to communicate effectively across teams. This position offers a salary range of $90,000 to $110,000, with additional employee benefits, including health insurance and retirement plans. #J-18808-Ljbffr

A compassionate hospice care provider in Minnesota is seeking a Compliance Auditor to develop and execute compliance audit programs. Key responsibilities include conducting risk assessments, internal audits, and ensuring adherence to regulations while collaborating with various departments. The ideal candidate will have at least 2 years of relevant experience and strong analytical skills. This position offers a competitive annual salary ranging from $90,000 to $110,000 along with a comprehensive benefits package. #J-18808-Ljbffr

Position Type Full Time Description Work Where You Matter! At St. Croix Hospice we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter. Compliance Auditor (Non-Clinical) Position Overview The Compliance Auditor is responsible for assisting with the development and implementation of the compliance audit program to ensure regulatory adherence, risk mitigation and operational integrity. This role ensures that St. Croix Hospice complies with federal and state laws and regulations and internal policies by identifying potential risks and working cross-functionally to implement corrective actions. The Compliance Auditor will lead risk assessments, internal audits and compliance investigations while collaborating with...

Senior Clinical Compliance Auditor page is loaded## Senior Clinical Compliance Auditorlocations: Flowood, MStime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR100294# Healthy Careers Start HereAt Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle.# Job Summary:The Senior Clinical Compliance Auditor serves as the primary clinical reviewer of data analysis findings, referrals, appeals and complaints related to Network Hospitals, Providers, Pharmacies, and other entities or programs suspected of inappropriate billing of claims to Blue Cross & Blue Shield of Mississippi. The incumbent is responsible for selecting, obtaining, coordinating, monitoring, and reviewing medical records and other relevant...

A leading health insurance provider in Mississippi is seeking a Senior Clinical Compliance Auditor. This role involves reviewing clinical data, coordinating and validating billing practices for healthcare providers, and working closely with various teams. Required qualifications include a Bachelor's degree in Nursing and at least three years of relevant experience. The ideal candidate will possess strong communication, organizational, and analytical skills. Join us to promote health and wellness throughout Mississippi. #J-18808-Ljbffr

Corporate Compliance Auditor - Inpatient Focus LMHS Compliance Auditor Licking Memorial Health Systems (LMHS) is a leading, non‑profit healthcare organization dedicated to improving the health and well‑being of our community. Founded in 1898, LMHS remains a cornerstone of healthcare excellence in Licking County, offering a comprehensive spectrum of patient care services – from life‑saving emergency medicine to home healthcare – and specialized services in cancer, heart health, maternity, and mental wellness. When you join the LMHS team you become a vital part of your local community hospital. Working at LMHS is not just a job, it is an opportunity to directly impact the health and well‑being of friends, family, and neighbors. Your work extends beyond hospital doors into the heart of our community. Our commitment to diversity, equity, and inclusion ensures that every member of our community is served with respect and compassion. Under the general direction of the VP of Financial...

A leading healthcare provider in New Jersey seeks a Compliance Auditor to ensure accurate billing and documentation practices. Candidates should have over 3 years of experience in provider compliance, with expertise in healthcare coding and understanding of relevant regulations. The role involves conducting audits, developing policies, and addressing compliance matters. This position offers competitive compensation and a comprehensive benefits package, providing opportunities for professional growth. #J-18808-Ljbffr

Job Title: Lead, Operations & Compliance Auditor Posting Start Date: 1/20/26 Job Description: Position Information $81,120 - $133,380 The base salary range represents a good faith salary range for this position. This position is eligible for annual incentive pay and has the opportunity for continued salary growth. If you are hired at American Water your base salary compensation will be determined based on factors such as market, geography, skills, education and/or experience. At American Water, we are committed to pay equity. In addition to compensation, you will be offered a comprehensive benefits package including 401(k),Defined Contribution Plan, Employee Stock Purchase Plan, medical, prescription, dental and vision coverage, plus disability, paid time off, life insurance, voluntary benefits, health and wellness programs and much more! American Water is also proud to offer employees learning opportunities and work experiences to grow profession...

A healthcare compliance firm in Cherry Hill, NJ is seeking a Compliance Auditor to conduct audits of hospital regulations and ensure compliance. The role offers a salary of up to $67K and includes various responsibilities such as developing compliance policies, analyzing audit data, and providing educational training. The ideal candidate should have a degree in a healthcare or business-related field and strong communication skills. #J-18808-Ljbffr

A Texas-based CPA firm seeks a Regulatory Bank Compliance Auditor to provide essential audit and advisory services for community banks. This role offers geographic flexibility with required travel to client sites. Responsibilities include conducting compliance audits, evaluating bank programs, and drafting reports. Candidates should have a bachelor's degree in a related field and experience in bank compliance. Join a vibrant organization that values collaboration, communication, and growth. #J-18808-Ljbffr

Coding Compliance Auditor - Maui Health HIM Coding auditor/trainer will coordinate, monitor, and audit documentation and coding of inpatient and/or outpatient services in all applicable health care settings. Audits will focus on correct assignment of CPT, ICD-10, ICD-9-CM, HCPCS codes and clinician documentation to ensure that Kaiser Permanente is compliant with all regulatory guidelines and internal controls. Audits will encompass internal practitioners, contracted practitioners, coders, internal facilities and contracted facilities. The auditor will analyze audit results, identify patterns, trends or variations in coding and documentation practices and make recommendations for improvement. When necessary, this position will initiate corrective action plan to ensure resolution of problem areas identified during auditing and monitoring activity. This position will serve as a liaison with HIM staff, Revenue Cycle, External and Internal practitioners, and other regional departments...

A healthcare organization in Bozeman is seeking a Compliance Auditor to support an effective compliance program through risk-based audits and monitoring. Candidates should have a bachelor's degree in a relevant field and at least 3 years of healthcare compliance or auditing experience. The role involves conducting audits, preparing reports, and ensuring adherence to regulations. This is a full-time position with day shifts, providing a dynamic environment focused on ethical, compliant operations. #J-18808-Ljbffr

A healthcare organization in Champaign, IL is seeking a full-time Compliance Auditor/Educator. Responsibilities include ensuring compliance with regulations, conducting audits, and providing education on coding. The ideal candidate will have a CPC certification and at least 1 year of experience in coding or auditing. This position offers competitive pay and a comprehensive benefits package including health insurance and 401k. #J-18808-Ljbffr

A Career at HARMAN As a technology leader that is rapidly on the move, HARMAN is filled with people who are focused on making life better. Innovation, inclusivity and teamwork are a part of our DNA. When you add that to the challenges we take on and solve together, you’ll discover that at HARMAN you can grow, make a difference and be proud of the work you do every day. Introduction: A Career at HARMAN Corporate We’re a global, multi-disciplinary team that’s putting the innovative power of technology to work and transforming tomorrow. At HARMAN Corporate, you are integral to our company’s award-winning success. Enrich your managerial and organizational talents – from finance, quality, and supply chain to human resources, IT, sales, and strategy Augment your comprehensive skillset with expert training across decision‑making, change management, leadership, and business development Obtain 360‑degree support throughout your career life cycle, from early‑stage to seasoned leader...

Compliance Auditor page is loaded## Compliance Auditorlocations: AK - Juneautime type: Full timeposted on: Posted Yesterdayjob requisition id: JR102042Pay Range:Pay Range:$47.69 - $67.19SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.Ensure SEARHC meets federal and state regulations and internal policies in regard to healthcare coding, documentation, and billing practices. Review health records to verify coding and clinical documentation meets applicable coding and billing requirements, Medicare/Medicaid...

A non-profit health organization in Juneau seeks a Compliance Auditor to review health record documentation and ensure compliance with coding and billing regulations. Candidates should have a health-related degree and three years of relevant experience. This role involves conducting audits, analyzing data, and preparing detailed reports. Join us to make an impactful career in Southeast Alaska with competitive benefits and support for professional growth. #J-18808-Ljbffr