15 manager quality compliance auditor jobs found

Compliance Auditor Management Analyst 4 Full- Time, Permanent Orting, WA The Washington State Department of Veteran Affairs is seeking a Full-Time Permanent Compliance Auditor (Management Analyst 4) to join the team at the historic Washington Soldiers Home in Orting, WA. As a key member of the WDVA Compliance Team, the incumbent assists the WDVA Internal Audit & Compliance Manager in establishing and promoting the agency’s compliance framework, including the overall mandate guiding principles, roles and accountabilities for managing, monitoring, and continuously improving WDVA’s culture of compliance and internal controls. Please note: Standard business hours are Monday through Friday, 8:00 am to 5:00 pm. This position may be eligible for hybrid telework based on business needs, as approved by the appointing authority. The position will still require in-person presence. This position has been posted within the assigned pay range through Step L. Step M has not been...

Job Title: Coding Auditor and Educator (Remote - WA Residents Only) Req: 2026-0713 Location: VMC Main Campus Department: Health Information Mgmt Shift: Days Type: Full Time FTE: 1 Hours: 8:00 - 4:30 City State: Renton, WA Category: Professional ( NCNM) Salary Range: Min $32.39 - Max $46.96/hourly DOE JOB DESCRIPTION The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. TITLE: Coding Auditor and Educator JOB OVERVIEW: The Coding Auditor and Educator plays a key role in the orientation, auditing, and education of all healthcare providers involved in professional fee coding and documentation at Valley Medical Center. This position conducts both new and routine physician coding and documentation audits, delivers targeted education, and...

Rewarding career. Competitive salary. Outstanding benefits. The Medical Biller Lead serves as an advanced revenue cycle resource within Patient Financial Services, supporting the full life cycle of patient accounts from claim creation through final resolution. This position performs complex hospital billing, accounts receivable follow-up, denial resolution, payment posting, reconciliation, refund processing, and related account research while providing day-to-day workflow support to the billing team. The Medical Biller Lead assists with work queue management, staff training, process consistency, and escalation of complex reimbursement issues. This role supports hospital and clinic services in a Critical Access Hospital (CAH) environment and requires strong knowledge of payer requirements, Epic HB workflows, reimbursement, and customer service excellence. STANDARD EXPECTATIONS Promotes a Positive Working Environment Conducts oneself in line with organization's mission,...

Job Summary The Coder’s primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Compensation $23.58-35.70/hourly (based on experience) Location Wenatchee, WA. Hybrid Option after1 year working in office, partial remote work is an option within Washington State. Job Specific Competencies Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. Effectively utilizes coding software and/or books to confirm coding accuracy. Verifies referring provider, rendering provider,...

Join Alianza's revenue cycle team to keep claims clean, denials low, and the value-based care engine funded across our growing Puerto Rico network. Responsibilities Prepare, review, and submit medical claims accurately and timely to insurers Verify patient insurance eligibility, benefits, and authorization requirements Follow up on denied, delayed, or unpaid claims and coordinate corrections and appeals Post payments, adjustments, and reconcile billing records in management systems Maintain compliance with payer guidelines, HIPAA standards, and healthcare regulations Communicate professionally with providers, patients, insurers, and internal teams Support revenue cycle reporting, documentation, and audit readiness activities Assist in identifying billing trends, workflow improvements, and operational efficiencies Requirements High school diploma or equivalent required; Associate's or Bachelor's degree preferred Minimum 2 years of medical billing or revenue cycle management...

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...

Experience preferred. Certified Coder with 5+ years experience coding professional and facility fees for surgical cases and office visits. Specialties include Obstetrics/Women's Health, Orthopedics, Podiatry, Cardiology, Urology & General Surgery. JOB SUMMARY The Coder is responsible for reviewing discharge abstracts and patient charts in order to assign the appropriate ICD-CM/CPT codes to diagnoses and procedures. Reviews charts for potential liability risk and documents specific information as necessary. Performs studies as requested by physicians or administration. Maintains State reporting documentation for certain procedures in compliance with regulations. The Coder encounters the mission of providing quality healthcare to the patients of WhidbeyHealth to ensure medical records are charged and coded accurately and efficiently. This position may be responsible for applying the appropriate codes for ICD-10, CPT / HCPCS, evaluation and management, and/ or modifiers...

Job Full Description Certified Medical Coder Location: Colfax, WA Pay: $22 - $25 per hour DOE Schedule: Monday-Friday (Typical office hours) Position Overview A healthcare organization in Colfax, WA is seeking a Certified Medical Coder to support accurate medical coding and documentation within a hospital-based revenue cycle team. This role is responsible for reviewing clinical documentation and assigning appropriate diagnosis and procedure codes to ensure accurate billing, regulatory compliance, and proper reimbursement. This position offers the opportunity to work within a collaborative hospital environment, partnering closely with clinical, coding, and revenue cycle teams to support accurate documentation and reimbursement. The ideal candidate will have strong knowledge of coding guidelines, excellent attention to detail, and the ability to work efficiently within electronic health record systems. Experience with the EPIC EHR platform is highly...

Coder Job Summary The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Job Specific Competencies 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. b. Effectively utilizes coding software and/or books to confirm coding accuracy. c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 2. Receives and reviews paper fee slips for hospital services...

Job Summary The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Job Specific Competencies 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. b. Effectively utilizes coding software and/or books to confirm coding accuracy. c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 2. Receives and reviews paper fee slips for hospital...

Salary: $99,071.79 - $126,744.82 Annually Location : Office of the Coroner, 5010 Linden St, Bremerton, WA Job Type: Full Time (40 hrs/wk) Department: Medical Examiners Office Opening Date: 09/11/2026 FLSA: Exempt Bargaining Unit: NON OVERVIEW Join a mission-driven team that plays a vital role in serving and protecting the people of Kitsap County. As the Program Supervisor for the Kitsap County Medical Examiner's Office, you will help lead one of the most sensitive and trusted public-service operations in the region. This is your opportunity to guide high-impact work, support a dedicated investigative team, and ensure our community receives professional, compassionate, and transparent medicolegal services every day. What You Will Do Operational Leadership & Program Management Direct daily administrative, technical, and investigative operations. Ensure compliance with accreditation standards, policies, regulations, and procedures. Create and...

RCM Specialist / Medical Biller (Hybrid) Albany, New York, United States; Albuquerque, New Mexico, United States; Lakewood, Washington, United States Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives. We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible. We believe everyone deserves respectful, effective treatment for...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

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...

Overview About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region....