22 vendor compliance auditor jobs found

Vendor Compliance Auditor JOB SUMMARY: This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying any deviations. SUPERVISORY RESPONSIBILITIES: None ESSENTIAL FUNCTIONS: Responsibilities: Observe the quality of loads on arrival Review loads for violations Identify and document root causes through tablet procedures Communicate violations by gathering up to 30 photographs using multiple angles if necessary Validate information prior to reporting violations QUALIFICATIONS: education and/or experience: High school diploma knowledge, skills and abilities: Demonstrated interpersonal and communication skills (written and verbal) Attention to detail Familiarity with pallet building standards Demonstrated commitment to safety standards physical requirements: Ability to work in a warehouse environment (concrete floors, changing temperatures) Ability...

Shift: 1st shift (7am start) Compensation: $665-$760 Vendor Compliance Auditor JOB SUMMARY: This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying any deviations. SUPERVISORY RESPONSIBILITIES: None ESSENTIAL FUNCTIONS: Responsibilities: Observe the quality of loads on arrival Review loads for violations Identify and document root causes through tablet procedures Communicate violations by gathering up to 30 photographs using multiple angles if necessary Validate information prior to reporting violations #CB Capstone Logistics, LLC is part of The Transportation and Logistics industry which has been designated a "Critical Infrastructure Segment". As a "critical infrastructure industry" worker in the Transportation and Logistics industry, associates are considered exempt from local restrictions such as curfews, shelter-in-place orders, and other mobility restrictions when reporting to, returning from, or...

Him Coding/Compliance Auditor 2 Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals. The HIM Coding/Compliance Auditor 2 analyzes abstracted, coded data for the purpose of ensuring coding accuracy. Serves as a resource for expert knowledge...

A state government department in Maryland is seeking a skilled compliance auditor to conduct audits and ensure adherence to laws and regulations. The ideal candidate will have a bachelor’s degree and four years of professional experience. This role offers competitive benefits, including health insurance and a pension plan. Join us to contribute to enhancing public safety and support the reintegration of offenders through robust compliance standards. #J-18808-Ljbffr

Hospital Compliance Auditor Westminster, MD CARROLL HOSPITAL COMPLIANCE Full-time - Day shift - 8:00am-4:30pm PROFESSIONAL 94114 Posted: Today Apply Now Save Job Saved Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. This position is located on the campus of Carroll Hospital in Westminster, MD. Consideration will be given for a potential hybrid work model after 6 months of successful employment. About the Role: Supports the LifeBridge Health Institutional Compliance. The auditor works under the under general direction of the Director of Institutional Compliance to perform institutional (e.g., hospital, post-acute care (DME, Home Health, etc.) compliance related...

Lead Coding Specialist Adventist HealthCare seeks to hire an experienced Lead Coding Specialist for our Medical Coding Department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Lead Coding Specialist, you will: Conduct reviews to validate I-10-CM diagnosis codes and PCS procedure codes for inpatient bill hold related to PSI, PPC & other reimbursement conventions to be resolved prior to final coded data. Manages daily DNFB and DNFC reports and work queues for un-coded or outstanding records. Under the direction of the coding manager, the coding specialist lead should be proficient in communicating with the coding team. Oversees coding corrections, abstracts elements for HSCRC submissions, and ensures coding compliance with coding standards. Liaison between coding and other departments, managing coding-related tasks and denials. Provides mentoring support to coders on coding questions/reviews and...

Description About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. Position Summary: RELI Group is seeking an experienced Privacy Compliance Auditor Subject Matter Expert (SME) to support privacy-focused audits and assessments under Task 8 of the Information Security and Privacy Services (ISPS), part of the Marketplace System Security and Privacy Support Services (MSSPSS) contract. The Privacy Compliance Auditor SME will provide expert-level evaluation of CMS ACA and NST systems to ensure compliance with...

About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. Position Summary: RELI Group is seeking an experienced Privacy Compliance Auditor Subject Matter Expert (SME) to support privacy-focused audits and assessments under Task 8 of the Information Security and Privacy Services (ISPS), part of the Marketplace System Security and Privacy Support Services (MSSPSS) contract. The Privacy Compliance Auditor SME will provide expert-level evaluation of CMS ACA and NST systems to ensure compliance with the Privacy Act,...

Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests. REMOTE WORK OPPORTUNITY Acceptable remote locations: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia, Reviews medical records for coding accuracy (I10 and CPT) and DRG (CMS or APR) assignment. Develops and provides a structured reporting and education process for HIM...

Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. About the Role: The Compliance Auditor supports the LifeBridge Health Compliance Program by conducting assigned compliance audits, education, and other compliance activities to ensure institutional compliance with Local, State and Federal laws/regulations/requirements, documentation/coding/billing regulations/guidelines, and internal policies/procedures are met.. The Compliance Auditor reports to the Director of Institutional Compliance and works collaboratively with leadership, employees, and providers across LifeBridge Health. KEY RESPONSIBILITIES: Conducts outpatient and inpatient hospital,...

Description Supernus Pharmaceuticals is an award-winning biopharmaceutical company with more than 30 years of experience in developing and commercializing products that treat central nervous system (CNS) diseases. At Supernus, we develop innovative products that help treat neurological and psychiatric conditions. We currently have 9 products in the market that are making a real impact on patient outcomes. Job Summary: This position will work closely with the Medical Director, Postpartum Depression and will have primary responsibility for medical review in both promotional and medical review committees. This role will perform scientific, technical, and quality checks of materials for scientific accuracy, substantiation, quality, and relevant pharmaceutical regulations and codes, and serve a consultive role with cross functional teams in the appropriate development of materials subject to PRC and MRC review. In addition, the Associate Director will have additional...

A healthcare solutions provider is seeking a Senior Medical Coder to support Medicare Part C Risk Adjustment initiatives. Candidates should have at least five years of coding experience in ICD-9-CM/ICD-10-CM standards and the necessary certifications. Responsibilities include diagnosis coding, medical record audits, and providing subject matter expertise during appeals processes. The role ensures compliance with healthcare regulations and promotes efficient data management within the organization. Competitive salary between $60,000 and $80,000, with additional benefits offered. #J-18808-Ljbffr

Medical Billing Specialist – Maryland State-Wide Join to apply for the Medical Billing Specialist – Maryland State-Wide role at Lead4Life, Inc. Company: Lead4Life, Inc. Reports To: Executive Director/ Senior Director of Programs Position Status: Part Time – Contractor Location: Maryland State-Wide Salary: $24 an hour Direct Reports: None Position Overview The Medical Billing Specialist is responsible for managing all billing and revenue cycle activities specific to Lead4Life’s Psychiatric Rehabilitation Program (PRP). This role ensures timely and accurate claim submission, reimbursement tracking, and financial recordkeeping in compliance with Medicaid regulations and internal financial policies. The specialist will collaborate closely with PRP program managers to ensure that required documentation is submitted on time to support accurate billing. Key Responsibilities PRP Billing & Claims Management Prepare, submit, and monitor PRP claims to Medicaid and other payers in...

We are seeking a Sr. Compliance Auditor Trainer who will provide on-going training and support to physicians, non-physician providers, professional fee billing staff, clinic staff, administrators, and other affected personnel on documentation and billing requirements. Using auditing and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. Works in close collaboration with the clinical departments, Physicians Billing Service, and the Johns Hopkins Health System Compliance Office. The documentation audits are conducted as part of the School of Medicine's Quality Assurance Compliance Program. Prepares reports for the Senior Director, Director, and clinical departments regarding the status or results of the reviews. Summary results are presented to the Clinical Practice Association's Board of Governors, the University's Trustee Committee for Audits and Insurance and other appropriate...

Join to apply for the HIM - INPATIENT HOSPITAL CODER (Exp.) role at LifeBridge Health Join to apply for the HIM - INPATIENT HOSPITAL CODER (Exp.) role at LifeBridge Health REMOTE WORK OPPORTUNITY Competitive Benefits REQUIRED CERTIFICATIONS - CCS or CCA with 5+ years’ experience or RHIT or RHIA Summary REMOTE WORK OPPORTUNITY Acceptable remote locations: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia Competitive Benefits REQUIRED CERTIFICATIONS - CCS or CCA with 5+ years’ experience or RHIT or RHIA JOB SUMMARY: Following established conventions and guidelines, codes and abstracts the medical records of inpatients. Groups codes to determine diagnosis related groupings (DRGs-CMS and/or APR). May be asked to code day surgery, emergency and outpatient records. Meets departmental accuracy and production standards. Essential Functions Codes Reviews medical records to determine the physicians diagnosis/procedures for the patient and assigns...

Join to apply for the HIM-OUTPATIENT CODER role at LifeBridge Health Join to apply for the HIM-OUTPATIENT CODER role at LifeBridge Health Get AI-powered advice on this job and more exclusive features. FULL-TIME REMOTE OPPORTUNITY Summary HIM OUTPATIENT CODER FULL-TIME REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 tion : District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia JOB SUMMARY: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of facility outpatient records. Assists with coding and leveling ERs as needed. Assists with coding and charging infusion cases as needed. Meets departmental accuracy and production standards. Reviews medical records to determine the providers diagnoses/procedures for outpatient records (ER, Infusion, other outpatient) and assigns ICD-10CM/PCS codes or CPT codes to those diagnoses/procedures. Abstracts predetermined information from ER and outpatient...

Job Title: Medical Billing Specialist Reports To: Executive Director/ Senior Director of Programs Salary/Hourly Rate: $24 an hour Direct Reports: None Position Status: Part Time – Contractor Location: Maryland State-Wide Position Overview: The Medical Billing Specialist is responsible for managing all billing and revenue cycle activities specific to Lead4Life’s Psychiatric Rehabilitation Program (PRP). This role ensures timely and accurate claim submission, reimbursement tracking, and financial recordkeeping in compliance with Medicaid regulations and internal financial policies. The specialist will collaborate closely with PRP program managers to ensure that required documentation is submitted on time to support accurate billing. Key Responsibilities (Including but not limited to): Prepare, submit, and monitor PRP claims to Medicaid and other payers in accordance with applicable billing guidelines and timelines. Track the status of claims and proactively address denials,...

Orthopedic and Plastic Surgery Medical Coding Specialist Orthopedic and Plastic Surgery Medical Coding Specialist 1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. We have an immediate opening for a part-time Orthopedic and Plastic Surgery Medical Coder. Candidate will be a highly skilled and detailed-oriented Certified Medical Coder with specialized experience in Ambulatory Orthopedic and Plastic Surgery Coding for Same-Day Surgeries (outpatient procedures). The idealcandidate will possess extensive knowledge of CPT, ICD-10-CM and HCPCS coding systems, along with a strong understanding of outpatient surgical documentation and regulatory compliance. Preference will be given to candidates with same-day surgery coding and ASC coding specialties. Purpose The Medical Coding Specialist plays a key part in ensuring accurate coding for optimal reimbursement and compliance with all coding and billing guidelines. Organizational...

Coding Auditor (250002UP) Job Description Description The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation in support of services billed including ICD-10/CPT/HCPCS and other third party payor codes, DRG and EAPG assignments, medical necessity of the services, reimbursement overpayments and underpayments, and compliance with other documentation, coding and billing standards. The Coding Auditor applies standardized audit scoring methodology to consistently evaluate documentation and coding, and standardized audit findings methodology to report audit results. Qualifications Minimum Education Associate’s Degree. Candidates with 3 years of coding experience in lieu of...

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...

Overview LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. Remote Work Opportunity Acceptable remote locations: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia. Key Responsibilities Review outpatient records for coding accuracy and/or charge accuracy. Review records for compliance with standardized coding conventions. Determine which records are to be reviewed based on coding, CPT or DRG change patterns. Review and advise on post-discharge audit records with coding changes proposed by external auditors. Educate HIM Coding Staff on coding conventions, chart review techniques and idiosyncrasies of DRGs (CMS and APR). Educate on CPT and ICD10. Identify educational...

Associate Director, Medical Review - PPD Join to apply for the Associate Director, Medical Review - PPD role at Supernus Pharmaceuticals, Inc. Job Summary This position will work closely with the Medical Director, Postpartum Depression and will have primary responsibility for medical review in both promotional and medical review committees. The role will perform scientific, technical, and quality checks of materials for scientific accuracy, substantiation, quality, and relevant pharmaceutical regulations and codes, and serve a consultive role with cross‑functional teams in the appropriate development of materials subject to PRC and MRC review. In addition, the Associate Director will have additional responsibilities supporting Medical Affairs strategies and activities related to alliance partnerships. Essential Duties & Responsibilities Serve as the lead Medical Reviewer for the Promotional Review Committee (PRC) and Medical Review Committee (MRC). Provide medical and...