1078 billing compliance auditor jobs found

Cape Cod Healthcare is seeking a Coding and Billing Compliance Auditor to ensure accuracy, integrity, and regulatory compliance of clinical documentation, coding, and billing across the health system. The role conducts audits, identifies discrepancies, and educates staff to reduce risk and optimize reimbursement. You'll collaborate with Revenue Cycle, HIM, CDI, and Compliance teams, prepare audit reports, and present findings to leadership, driving continuous improvement in coding standards and #J-18808-Ljbffr

Billing Compliance Auditor III (Hybrid)Position Summary: Billing Compliance Auditor III (hybrid). Under general supervision performs audits of clinical documentation, physician billing and payment records and applicable industry standard codes by analyzing medical records, coding records and health system bills validating clinical documentation in conjunction with the bill; assessing the level and accuracy of coding, determining that governmental and third party payer regulations are being complied with; and evaluating appropriateness of billing and coding procedures. Evaluates accuracy and risk level of coding and billing performance by individuals and clinical units. Prepare reports and provide individual and/or group instruction to physicians and others based on results of audit. Works collaboratively with appropriate personnel to identify and recommend strategies for process improvement and to develop and draft billing and coding policies for the CHB Foundations in coordination...

Position Summary: Billing Compliance Auditor III (hybrid). Under general supervision performs audits of clinical documentation, physician billing and payment records and applicable industry standard codes by analyzing medical records, coding records and health system bills validating clinical documentation in conjunction with the bill; assessing the level and accuracy of coding, determining that governmental and third party payer regulations are being complied with; and evaluating appropriateness of billing and coding procedures. Evaluates accuracy and risk level of coding and billing performance by individuals and clinical units. Prepare reports and provide individual and/or group instruction to physicians and others based on results of audit. Works collaboratively with appropriate personnel to identify and recommend strategies for process improvement and to develop and draft billing and coding policies for the CHB Foundations in coordination with the Hospital. Assists in response...

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...

Boston Children's Hospital is seeking a Billing Compliance Auditor III (hybrid) to audit clinical documentation and coding for regulatory compliance. The role involves analyzing medical records and billing records, preparing reports, and advising physicians and departments on improvements. The position requires CPC/CCS-P certification and 3 years CPT/ICD-10 coding experience, including reviewing physician documentation. #J-18808-Ljbffr

Boston Children’s Hospital is seeking a Billing Compliance Auditor III to perform audits of clinical documentation and billing records. The role is hybrid and emphasizes accuracy, compliance, and process improvement. The auditor will prepare reports, train staff, and help develop billing policies in coordination with CHB Foundations and Hospital leadership. Applicants should have a High School Diploma or GED, CPC or CCS-P certification, and at least three years of CPT/ICD-10 coding experience, #J-18808-Ljbffr

NorthShore University HealthSystem is seeking a Senior Auditor for Billing Compliance to conduct audits, analyze coding and billing documentation, and support investigations across the medical group and system facilities. The role requires strong knowledge of ICD-10-CM/PCS, CPT/HCPCS, and Medicare/Medicaid rules, with EPIC experience highly preferred. Hybrid work arrangement (Evanston, IL and remote) with flexible hours and opportunity for professional growth within a leading health system. #J-18808-Ljbffr

DOCUmation in San Antonio, TX is seeking a Contract Billing Auditor Specialist to ensure compliance with billing procedures and pricing. You will audit completed deals and invoices to improve accuracy and efficiency daily. The ideal candidate will have 3-5 years of experience in Contract Administration and possess strong analytical skills. This role requires attention to detail, communication abilities, and proficiency in Microsoft Office. #J-18808-Ljbffr

1100 Endeavor Health Clinical Operations is seeking a Senior Auditor for Billing Compliance to conduct audits and ensure regulatory adherence. This hybrid role is based in Evanston, Illinois, and requires a Bachelor's degree along with specialized certifications. The ideal candidate will have at least 3 years of experience in billing compliance, strong skills in ICD‑10 coding, and proficiency in Microsoft Excel. Comprehensive benefits and opportunities for professional development are provided. #J-18808-Ljbffr

Yale Cancer Center seeks a Medical Billing Auditor to coordinate audits for Yale Medicine Administration. This remote position requires expertise in ICD-10 and CPT-4 coding, strong communication skills, and data analysis capabilities. A Bachelor’s degree and 5 years’ experience in a relevant field are mandatory. Responsibilities include conducting audits, evaluating billing compliance, and training staff in accurate coding. CPC certification is required or must be obtained within the first year. #J-18808-Ljbffr

Covenant Health is seeking a Revenue Integrity Auditor to conduct audits related to compliance in billing, coding, and documentation. The ideal candidate will have 3-5 years of healthcare experience, strong knowledge of Medicare/Medicaid guidelines, and excellent analytical and problem-solving skills. Key responsibilities include auditing internal processes, communicating findings to management, and providing consultancy services. A clinical license in Tennessee or equivalent experience is preferred. This full-time position offers a focused day shift to enhance compliance and efficiency within the organization. #J-18808-Ljbffr

Tyson & Mendes is seeking a billing compliance professional with expertise in auditing, compliance, and billing appeals. This fully remote role requires strong skills in UTBMS codes and Microsoft Excel, offering a compensation range of $30–$37 per hour based on experience. The candidate will conduct audits, resolve billing discrepancies, and manage compliance reports. Additional benefits include comprehensive health coverage, a 401(k) plan, and a standard 37.5-hour workweek promoting work-life balance. #J-18808-Ljbffr

NYU Langone Health in New York is seeking a Senior Compliance Specialist to support compliance in hospital billing. The role involves conducting audits, preparing reports, and developing training programs to ensure adherence to billing standards and regulations. The ideal candidate will have a Bachelor’s degree in a related field, certification in clinical coding, and at least four years of experience in hospital billing and coding. The role requires strong analytical and communication skills. #J-18808-Ljbffr

UT Southwestern Medical Center in Dallas seeks a Compliance Analyst III to lead complex hospital billing audits, regulatory reviews, and investigations, providing expert guidance on Medicare, Medicaid, and payer requirements. This senior role partners with revenue cycle and clinical teams, develops education materials, and strengthens controls to ensure accurate reimbursement and regulatory compliance. Qualifications include a Bachelor's in business or healthcare admin, 5 years in compliance, #J-18808-Ljbffr

Dana‑Farber Cancer Institute in Brookline, MA is seeking a Billing Compliance Reviewer to plan and execute risk-based audits of medical necessity and coding accuracy. You will analyze documentation, ensure compliance with CMS, OIG, and payer requirements, and suggest corrective actions to reduce compliance risk. The role collaborates with Coding, HIM, Billing, and clinical teams to remediate findings, develop internal controls, and support ongoing improvement in charge capture and documentation #J-18808-Ljbffr

Huntsville Hospital Health System seeks a candidate to perform internal audits of hospital accounts and manage insurance audits. Applicants should have a high school diploma or GED, with an Alabama nursing license preferred. The job requires at least 3 years of experience in a hospital clinical setting or related field. We offer a competitive benefits package including medical, dental, and vision insurance, retirement options, and tuition assistance. Join us to contribute to our commitment to a diverse workplace. #J-18808-Ljbffr

Napleton Automotive Group is hiring a Compliance Auditor for its Oak Brook Terrace office. The role focuses on reviewing and auditing deals to ensure adherence to Napleton’s standards across dealerships and processes. The successful candidate will work with store-level accounting teams daily, maintaining high ethical standards and attention to detail in a fast-paced corporate setting. #J-18808-Ljbffr

The Financial Auditor at the University of Minnesota Veterinary Medical Center conducts financial reviews of client bills to ensure accurate charge capture and compliance with policies. He/she analyzes monthly and annual charge recapture activities and collaborates to improve operational efficiency. Responsibilities include auditing charges, investigating discrepancies, and preparing monthly and annual audit findings for leadership. Hybrid work arrangement and 40 hours/week are noted. #J-18808-Ljbffr

Yale University is hiring for a position focused on conducting medical billing audits within the Yale Medicine Administration. The role involves evaluating billing practices for 18 clinical departments and providing training to staff. This opportunity is remote, potentially based in CT, and requires a CPC certification. The candidates need a Bachelor's degree in a related field and five years of relevant experience. The salary range is $68,000 to $120,500 annually, alongside a comprehensive benefits package. #J-18808-Ljbffr

Thomas Jefferson University is seeking a Compliance Auditor to monitor and improve the quality of clinical and financial documentation. This role requires expertise in auditing clinical documentation, coding accuracy, and compliance with regulations. The position offers a comprehensive benefits package including medical, dental, and tuition assistance. Ideal candidates will possess a Bachelor's degree in Health Information Management and relevant certifications. Join us to support continuous improvement in patient service documentation! #J-18808-Ljbffr

Toyota of Urbana is seeking a Compliance Auditor to join our team at our Oakbrook Terrace office. This role involves monitoring and auditing dealership operations to ensure compliance with our standards. Candidates must have at least 2 years in automotive billing and demonstrate impeccable attention to detail. The position offers a competitive rate of $24/hour plus a monthly bonus opportunity, a Monday-Friday schedule, and comprehensive benefits including medical, dental, vision, and 401K. #J-18808-Ljbffr

The Texas Tech University Health Sciences Center is seeking a Documentation & Coding Auditor to conduct medical billing coding and documentation quality audits. In this role, you will provide essential feedback to coding specialists and work collaboratively within the team. This position requires strong problem-solving skills and an active professional coding certification. An ideal candidate will have at least five years of experience in medical billing coding and reimbursement, along with knowledge in CPT, ICD-CM, and related coding systems. You will also be responsible for participating in compliance symposiums and conducting annual risk assessments. #J-18808-Ljbffr

OrthoVirginia Inc is seeking a Medical Auditor (Billing & Coding) to audit coding and documentation for providers and educate clinicians on documentation requirements and billing compliance. The role works under the Billing & Coding Compliance Manager with travel to regional offices. The successful candidate will review audits, prepare reports, and stay current with E/M guidelines while supporting the organization’s compliance program. #J-18808-Ljbffr

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview Billing and Coding Compliance Auditors conduct audits and monitoring activities to identify and address compliance risks related to billing and coding practices. They review and evaluate healthcare regulatory compliance, focusing on the detection of documentation, coding, and billing errors. Responsibilities include assessing the adequacy and accuracy of documentation supporting billed services, including ICD, CPT, HCPCS, and other third-party payer codes, as well as adherence to Teaching Physician guidelines, Evaluation & Management criteria, DRG and APC assignments, medical necessity, and reimbursement accuracy. Auditors serve as a communication channel, partnering with Billing and Coding...