9 consultant coding auditor jobs found

Stout Risius Ross, LLC is seeking a Healthcare Auditor & Coding Consultant to support complex engagements in forensics and compliance across multiple U.S. offices, including Chicago. You will analyze coding, billing, and reimbursement data, identify risks, and translate findings into actionable recommendations for clients and regulators. The role requires substantial experience in inpatient/outpatient facility and professional fee coding, familiarity with Medicare/Medicaid and payer-specific #J-18808-Ljbffr

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote) At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As part of our team, you’ll have the opportunity to contribute to better health care across the Northwestern Medicine system. We offer competitive benefits including tuition reimbursement and loan forgiveness, 401(k) matching, and lifecycle benefits. The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and regulatory standards. This role is the expert in clinical documentation and coding, working with the Clinical Documentation Team to ensure quality metrics meet high standards for NM Health System. The Coding Quality Auditor and...

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

## Medical Auditor (Billing and Coding)Applylocations: Hybridtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR101418At OrthoVirginia, you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment.With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive.Join us and become part of a trusted network committed to excellence in orthopedic care.**Medical Auditor (Billing & Coding)****Previous coding experience required Hybrid - must be...

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...

Your role JOB OBJECTIVES: The Social Compliance Auditor will independently plan, conduct, and report social-compliance and responsible-sourcing audits at manufacturing, processing, distribution, agricultural, and other operational facilities. Assignments may include SMETA, RBA, RSCI, SA8000, amfori BSCI, SLCP, customer-specific codes of conduct, and other social-compliance or responsible-business programs based on the auditor’s qualifications and client requirements. This is an assurance role requiring professional independence, sound judgment, objective evidence collection, and clear communication. The auditor may not provide consulting, remediation implementation, or internal-audit services to a facility being assessed. ESSENTIAL FUNCTIONS: Plan and prepare for audits by reviewing facility profiles, scope, prior findings, applicable standards, client requirements, and relevant legal requirements. Conduct independent on-site audits, including opening and closing meetings,...

**Your role****JOB OBJECTIVES:**The Social Compliance Auditor will independently plan, conduct, and report social-compliance and responsible-sourcing audits at manufacturing, processing, distribution, agricultural, and other operational facilities.Assignments may include SMETA, RBA, RSCI, SA8000, amfori BSCI, SLCP, customer-specific codes of conduct, and other social-compliance or responsible-business programs based on the auditor’s qualifications and client requirements.This is an assurance role requiring professional independence, sound judgment, objective evidence collection, and clear communication. The auditor may not provide consulting, remediation implementation, or internal-audit services to a facility being assessed.**ESSENTIAL FUNCTIONS:*** Plan and prepare for audits by reviewing facility profiles, scope, prior findings, applicable standards, client requirements, and relevant legal requirements.* Conduct independent on-site audits, including opening and closing meetings,...

Job description Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties: Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to...