636 billing compliance auditor jobs found

Join to apply for the Billing Compliance Auditor role at Optum . This position is National Remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. 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. This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00 am - 6:00 pm EST. It...

A healthcare organization is looking for a Billing Compliance Auditor to conduct internal coding audits and ensure compliance with billing regulations. This fully remote role offers the flexibility to work from anywhere in the U.S. Applicants should possess a High School Diploma and must be a Certified Professional Coder. The position involves developing training materials, reviewing audit reports, and supporting external audit requests. The salary for this position ranges from $48,700 to $87,000 annually based on experience and qualifications. #J-18808-Ljbffr

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...

A large automotive dealership group in Indiana is seeking a Biller Compliance Auditor to ensure compliance with operational standards. The ideal candidate will have over 3 years of automotive billing experience, impeccable attention to detail, and proficiency in tools like Microsoft Office and CDK. This role offers a competitive hourly wage and numerous benefits including medical, dental, vision, and paid vacation. Join an established company with over 90 years in business! #J-18808-Ljbffr

A major automotive dealership group in Indianapolis is seeking a Biller Compliance Auditor to ensure compliance with operational processes and standards. The role includes monitoring daily compliance, reviewing deals, and maintaining ethical standards. Candidates should have over 3 years of automotive billing experience and proficiency with necessary tools like Route One and CDK. This position offers a competitive hourly wage of $22.00-$27.00, along with benefits including medical, dental, vision, and paid vacation. #J-18808-Ljbffr

A large automotive dealership group located in Indianapolis seeks a Biller Compliance Auditor responsible for reviewing and auditing deals to ensure compliance with internal processes. Ideal candidates should have over 3 years of automotive billing experience and a strong attention to detail. This position offers a competitive hourly wage, a Monday-Friday work schedule, and various benefits including health and dental insurance. Join a company with over 90 years in the automotive industry! #J-18808-Ljbffr

An established automotive dealership group in Indianapolis is seeking a Biller Compliance Auditor who will be responsible for reviewing and auditing deals to ensure compliance with operational standards. The position offers a work schedule with great life balance and benefits including medical, dental, and 401K. Candidates should have at least 3 years of automotive billing experience and strong attention to detail. Join a family-owned business with over 90 years in the industry. #J-18808-Ljbffr

A leading healthcare organization is seeking a full-time Remote Coding Auditor. This role involves performing internal coding audits and billing compliance reviews to ensure accuracy of physician billing. The ideal candidate will have a High School Diploma, be a certified professional coder, and possess at least 3 years of experience in a billing environment. We offer comprehensive benefits and competitive salaries ranging from $48,700 to $87,000 annually. #J-18808-Ljbffr

A leading educational institution in Connecticut seeks an experienced professional to coordinate medical billing audits. In this remote role, you'll evaluate billing practices, provide training, and ensure compliance across clinical departments. The ideal candidate has a Bachelor's degree, at least five years of relevant experience, and knowledge of ICD-10 and CPT-4 coding. This position offers a competitive salary based on qualifications. #J-18808-Ljbffr

A healthcare organization is seeking a full-time remote position responsible for conducting coding audits and billing compliance reviews. Candidates should have a High School Diploma/GED, be certified coders, and have over 3 years of experience in a physician billing environment. This role requires proficiency in EPIC billing software and offers flexible hours within standard business times. The pay ranges from $48,700 to $87,000 annually and includes comprehensive benefits. #J-18808-Ljbffr

A leading healthcare institution is seeking a Billing Compliance Reviewer to manage and evaluate compliance audits, analyze documentation, and provide education on coding and billing standards. The ideal candidate must have a high school diploma, 3 years of coding experience, and a certified coder credential. Responsibilities include developing compliance processes and collaborating with clinical teams to resolve issues. This role offers a competitive salary range of $84,000 - $91,311 and emphasizes an inclusive workplace culture. #J-18808-Ljbffr

A leading healthcare organization is seeking a Billing Compliance Reviewer to ensure compliance with federal and state regulations. The position involves planning and executing audits, analyzing medical documentation for accuracy, and collaborating with clinical and administrative teams. Candidates should have a high school diploma (Bachelor’s preferred), three years of relevant experience, and certification in coding. Strong analytical and interpersonal skills are a must. A competitive salary range from $84,000 to $91,311 is offered. #J-18808-Ljbffr

A leading cancer research organization in Brookline is seeking a Senior Billing Compliance Reviewer to ensure the accuracy and compliance of hospital billing. The ideal candidate will have a robust background in healthcare coding and auditing, alongside strong analytical and interpersonal skills. This role involves conducting audits, providing education to staff, and ensuring adherence to billing guidelines. The position offers a competitive salary range and a supportive work environment focused on diversity and inclusion. #J-18808-Ljbffr

A healthcare organization based in Brookline, MASS, is looking for a Billing Compliance Reviewer to execute audits and ensure billing compliance with federal regulations. The candidate will collaborate with clinical and administrative teams to enhance documentation practices. The ideal applicant should have at least 3 years of relevant experience and a certified coding credential. The position offers a salary range of $84,000 to $91,311, fostering an inclusive work environment. #J-18808-Ljbffr

A healthcare services company is seeking a Licensed Therapist Compliance Partner to perform compliance audits and internal investigations. Candidates must be Occupational, Physical, or Speech Therapists with at least five years of experience in skilled nursing. Responsibilities include reviewing medical records, tracking corrective actions, and conducting Medicare claim reviews. This full-time role requires travel within California and offers a salary between $100,000 and $115,000 along with a comprehensive benefits package. #J-18808-Ljbffr

A healthcare services provider is seeking a Licensed Therapist Compliance Partner in California. This position requires an Occupational Therapist, Physical Therapist, or Speech Language Pathologist with at least five years of experience in skilled nursing. The role involves conducting compliance audits, internal investigations, and analyzing medical records. The position includes significant travel, with a salary range of $100,000 to $115,000 and comprehensive benefits including medical insurance and a 401(k). #J-18808-Ljbffr

Physician Compliance Auditor Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal...

Physician Compliance Auditor Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal...

Physician Compliance Auditor Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal...

Physician Compliance Auditor Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal...

Physician Compliance Auditor Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal...

Job Description The Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, assist with internal compliance policies and procedures, completing compliance risk assessments, and developing risk-based educational materials to ensure compliance with federal/state laws and regulations, and UT Health San Antonio policies. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Responsibilities Provide oversight on billing compliance auditing, monitoring, and educational activities within the compliance department. Performs audits of electronic and manual documentation, coding, and billing systems. Conducts close-out meetings with senior management of audited departments. Maintain current knowledge of changes in federal and state coding and billing regulations/guidelines...

Physician Compliance Auditor Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal...

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