425 research compliance auditor jobs found

The University of Arizona is seeking a Research Compliance Auditor within the Human Subjects Protection Program (HSPP) to audit research protocols for adherence to federal, state and institutional policies. You will collaborate with Quality Assurance and other auditors, develop tools for regulatory submissions, and help investigators understand regulatory requirements while supporting investigations led by the AVP Regulatory Affairs. #J-18808-Ljbffr

Research Compliance Auditor Position Highlights The Human Subjects Protection Program (HSPP) provides administrative and regulatory support to the University of Arizona Institutional Review Board (IRB). Through collaboration with the research community, the HSPP promotes ethical and compliant human research. The HSPP is seeking a Research Compliance Auditor who will primarily conduct routine audits of research protocols for adherence to federal, state and institutional policy. The Research Compliance Auditor will collaborate with the Quality Assurance officer and a varied group of auditors across multiple departments to ensure a broad cross-section of research projects are reviewed. They will identify mitigation strategies through analysis of corrective actions which increase adherence to policy, and are identified by compliance committees in the research division. The Research Compliance Auditor will assist with development of tools and resources to assist investigators regarding...

Miami Children’s Hospital is seeking a Sr. Research Compliance Specialist to ensure adherence to regulatory requirements and institutional policies governing clinical research. The role leads audits, serves as liaison for FDA inspections, and partners with study teams to address findings. The specialist provides expert guidance, mentors staff, and drives quality improvement across the research portfolio, maintaining audit readiness and compliance with sponsor requirements. #J-18808-Ljbffr

Regulatory Affairs Associate ENT and Allergy Associates, LLP and Hümi is seeking a self-motivated, people-friendly full time Regulatory Affairs Associate for our Tarrytown Corporate office location. Salary: $80,000-$85,000/year The Compliance Auditor and Coder supports the organization's Compliance Program by conducting risk-based medical record, coding, billing, and documentation audits for professional services. This role evaluates the accuracy and completeness of CPT, ICD-10-CM, HCPCS Level II, and modifier assignment; assesses compliance with applicable federal and state requirements, payer guidance, internal policies, and documentation standards; and identifies opportunities to reduce coding risk, prevent fraud, waste, and abuse, and strengthen revenue integrity. The position also serves as a coding and documentation resource to providers, staff, and management and supports education, corrective action, and follow-up monitoring. Audit priorities may be driven by...

Outpatient Coding Compliance Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws,...

Introduction Nationally recognized as a Great College to Work For , TTUHSC provides much more than just a job! Enjoy excellent benefits , including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building a rewarding career in a positive environment where you can develop and thrive? Join us as we change the future of health care. About TTUHSC Texas Tech University Health Sciences Center is enriching the lives of others by educating students, providing excellent patient care, and advancing knowledge through innovative research. TTUHSC graduates more health care professionals than any other health care institution in the state, conferring 24.2% of all degrees and certificates awarded from health-related institutions in Texas. By providing comprehensive clinical services to more than 10 million individuals across 121 counties, TTUHSC is dedicated to advancing the health of people throughout Texas and beyond. This is where...

Summary This position is located in the Health Information Management (HIM) section at the Fargo VA Health Care System. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA)...

Summary The Medical Records Technician (Coder) Auditor position is located at the Erie East VA Clinic. MRTs (Coders) are skilled in classifying medical data from patient health records in the hospital setting - and/or physician-based settings - such as physician offices - group practices - multi-specialty clinics - and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy Experience and Education: 1 Experience One year of creditable experience that indicates knowledge of medical terminology - anatomy - physiology -...

StrategyGen is seeking an experienced Compliance Reviewer/Auditor to conduct ACA-driven reviews and audits. The role emphasizes independent research, evidence-based findings, and clear documentation of testing and conclusions, with collaboration across a multidisciplinary team. Ideal candidates will have health insurance compliance experience, strong analytical and writing skills, and the ability to work with limited supervision while delivering high-quality work remotely. #J-18808-Ljbffr

Join a Fortune 500 and globally respected company as a Senior Compliance Auditor , where you'll lead the execution of global compliance audits across commercial operations. This is a high-impact role focused on identifying risks, strengthening internal controls, and ensuring alignment with international regulatory standards. Why This Opportunity: Prestigious company and highly regarded around the world Excellent learning, development, and progression opportunities Work for talented leadership and with high achieving co-workers What You’ll Do As Senior Compliance Auditor: Execute global compliance audits across sales and marketing functions Evaluate internal controls and recommend improvements Collaborate cross-functionally to ensure adherence to healthcare and anti-corruption regulations Oversee audits across key compliance areas: third-party activities, promotional practices, research support, charitable contributions, no-charge product use, and more Present findings and...

## Senior Lead Compliance Auditor (Hybrid) - Internal AuditApplyremote type: Hybridlocations: Washington University Medical Campustime type: Full timeposted on: Posted Todayjob requisition id: JR95595# **Scheduled Hours**37.5# **Position Summary**The purpose of the Washington University Compliance Program is to minimize instances of noncompliance with external laws and regulations, as well as related internal policies and procedures. Although university administration, faculty, and staff are responsible for various aspects of compliance as part of their roles, the Senior Lead Compliance Auditor plays a significant part in the overall compliance program. The Senior Lead Compliance Auditor works in the Office of University Compliance and Internal Audit. This position is responsible for evaluating the University’s state of compliance with federal research and other federal regulations, as well as related University policies. Such compliance is crucial to the success and...

Professional Fee Coding Auditor & EducatorWe are seeking an experienced Professional Fee Coding Auditor & Educator to partner with physicians and APPs on coding accuracy, documentation improvement, compliance, and provider education. Must currently possess both the CPC and CPMA certifications in order to be considered for the role.The Coding Auditor and Educator role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities,...

Coder II Our client, a healthcare company, is looking for a Coder II for their Costa Mesa, CA location. Responsibilities: The coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Verify that all ICD-10-CM codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Coding - client Clinic: In addition to the above, the coder meets ongoing productivity and quality...

Medical Coding Auditor Hybrid (1 - 2 days in office per week) Baltimore, MD 21201 Compensation $66k-$92k Direct Placement Description Responsible for conducting independent physician coding and auditing reviews to ensure the accuracy, completeness, and compliance of medical record documentation supporting codes selected by providers and/or coders. This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and training initiatives. This position plays a key role in physician documentation improvement, coding compliance, audit readiness, and provider education across the organization. Core Responsibilities Physician Coding, Auditing, Compliance & Education Conduct independent physician coding and auditing reviews to assess the adequacy of medical record documentation supporting codes selected by providers and/or coders. Perform detailed...

UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together. Quality at UnitedHealth Group means striving for excellence in everything we do in order tohelp us achieve our Mission. Simply put, it's in our DNA and why we're in business - to help people. Our Mission serves as our why;ourValuesunite us around how we willachieve it. Because when we follow our Mission and live our Values, we deliver Quality. We are seeking a detail-oriented and analytical professional to join our team as a Healthcare System Revenue Cycle Compliance Auditor ....

GI Alliance invites applications for a Compliance Auditor to research and analyze medical records with coding discrepancies, validate coding, and prepare reports with recommendations for corrective actions. The role includes auditing physician charts, reviewing billing for compliance, and communicating with physicians on documentation standards. Candidates should hold CPC/CPMA or equivalent credentials and have 3+ years in healthcare coding and operations. #J-18808-Ljbffr

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 Employment Type: Full time Shift: Day Shift Description Purpose Work Remote Position (Pay Range: $25.0209-$37.5313) Responsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency. Responsible for auditing department information, producing reports, & suggesting improvements to processes. Provides knowledge & expertise in the program, services & applications. Note: "patients" refers to patients, clients, residents, participants, customers, members Essential Functions Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes...

Job Description Job Description Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through pre and post payment medical records review and appeal records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines, coverage policies and regulatory and contract requirements. Qualifications: Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required. Prior experience in Medicaid claims role and/or post payment medical coding auditor role preferred. Knowledge of Medicaid rules, claims processing, medical terminology and coding principles and practices. Knowledge of auditing, investigation, and research. Knowledge of word processing...

Base Pay $21.89 - $31.51 / Hour Employee Type FT Non-Exempt Required Degree 2 Year Degree Contact information Phone 2565364700 Description The Medical Coding Auditor provides technical support to medical providers, as appropriate, regarding accurate and compliant coding documentation, regulatory provisions and third-party payer requirements. This position will be responsible for conducting internal audits of medical coding and billing activities to ensure compliance with regulatory standards and guidelines. The responsibilities include reviewing and validating medical documents, identifying and correcting coding errors, and implementing corrective action plans. Requirements Duties and Responsibilities 1. Review and verify the accuracy of medical records, codes and billing data. 2. Conduct audits on medical coding to ensure accuracy and compliance with guidelines and regulations. 3. Review medical documents to validate diagnoses, procedures, and treatment codes. 4. Review medical...

Location: Huntsville, Alabama, United StatesSalary: $73,450.00 - $132,775.00Company: LeidosPosted: Location: Huntsville, Alabama, United StatesSalary: $73,450.00 - $132,775.00Company: LeidosPosted: Location: Huntsville, Alabama, United StatesSalary: $73,450.00 - $132,775.00Company: LeidosPosted: Location: Huntsville, Alabama, United StatesSalary: $73,450.00 - $132,775.00Company: LeidosPosted: Location: Huntsville, Alabama, United StatesSalary: $73,450.00 - $132,775.00Company: LeidosPosted: Looking for an opportunity to make an impact?At Leidos, we deliver innovative solutions through the efforts of our diverse and talented people who are dedicated to our customers’ success. We empower our teams, contribute to our communities, and operate sustainably. Everything we do is built on a commitment to do the right thing for our customers, our people, and our community. Our Mission, Vision, and Values guide the way we do business.Your greatest work is ahead!Leidos’ Defense Sector Mission...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coding Auditor Full Time Staff South Florida Community Care Network, LLC, Sunrise, FL, US 3 days ago Requisition ID: 1202 Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through pre and post payment medical records review and appeal records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines, coverage policies and regulatory and contract requirements. Qualifications: Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required. Prior experience in...