1355 billing compliance auditor jobs found

The Jewish Board is seeking a Junior Billing Compliance Auditor in New York to support billing compliance across agency divisions. You will coordinate with senior specialists, maintain audit records, and help ensure adherence to fraud, waste, and abuse controls. The role requires BA/BS, experience with audits, and strong communication. You will collaborate with program staff and leadership to drive timely, accurate compliance actions and support regulatory reviews. #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...

Billing Compliance Auditor-302144 Description Job Summary Serves as a resource to the NCHS Billing Compliance Program and is responsible for auditing coding and documentation for professional fee and facility services to ensure compliance with federal, state and local regulations, and NCHS policies. Job Specific Duties Conducts coding and documentation audits for professional fee and facility services. Conducts audits for validation of appropriate E/M level, CPT, and ICD-10, Modifier appropriateness according to current AMA and CMS guidelines. Conducts DRG coding and clinical reviews to verify the accuracy of coding, DRG assignment and clinical indicators in accordance with CMS / federal requirements. Conducts quality assurance activities to ensure the accuracy and integrity of billing submitted to Federal and State payers. Analyzes Billing Compliance review outcomes and proactively identifies trends and high-risk areas. Develops appropriate recommendations for Corrective...

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...

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

UTMB Health in Galveston, TX seeks a Faculty Coding, Billing & Reimbursement Compliance Auditor to audit documentation, coding, and reimbursement for professional and hospital services. You will ensure documentation supports billed services and that coding aligns with regulations. The role requires a Bachelor's or equivalent, four years of relevant experience, and AHIMA CCS certification. You will collaborate with Billing Compliance and deliver education on audit findings to improve processes. #J-18808-Ljbffr

Aultman Health Foundation is seeking a Compliance Billing Auditor to review physician claims and supporting records for accuracy and regulatory compliance. This role focuses on coding, documentation, and reimbursement accuracy within a healthcare setting. The auditor will identify discrepancies, provide education to physicians, and support the compliance program under the supervision of the Compliance Officers. A hybrid work arrangement and local travel are available. #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

Thisiscny in Syracuse, NY is seeking a healthcare coding and billing compliance analyst to analyze data, review regulations, and conduct CPT/ICD-10 audits under the guidance of the Compliance Officer. Key duties include identifying trends, preparing audit reports with corrective actions, and maintaining confidentiality of patient and compliance information. Strong Excel skills and healthcare familiarity are essential. #J-18808-Ljbffr

STI in Indiana seeks a Community Based Contract Compliance Auditor to help monitor DCS contracted providers and ensure billing accuracy across multiple regions. The role involves on-site reviews and education, with a focus on preventing errors and developing corrective action plans. Travel to provider locations in regions 8, 12, 13, 14, 15, 16, 17, and 18 is required, with regular team meetings and coordination with the Central Office in Marion County. #J-18808-Ljbffr

Job Description Performs coding and documentation quality audits, provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities. Required Experience High School graduate or equivalency and five (5) years of coding and reimbursement experience of which one (1) year may be as a coding auditor. Additional job-specific education may substitute for the experience. Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA). Certification to remain current during term of employment. Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature. Preferred Experience Experience conducting risk-based and retrospective documentation and coding audits. Experience in an academic medical center, physician group practice, hospital, or other complex healthcare organization....

Job Description Performs coding and documentation quality audits, provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities. Job Description Performs coding and documentation quality audits, provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities. Auto req ID 485962BR Minimum Education Required High School/GED Required Experience High School graduate or equivalency and five (5) years of coding and reimbursement experience of which one (1) year may be as a coding auditor. Additional job-specific education may substitute for the experience. Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA). Certification to remain current during term of employment. Knowledge of CPT, ICD-CM, ICD-10, and HCPCS...

The Napleton Automotive Group is seeking an Automotive Dealership Biller to join our Oak Brook Terrace office as Compliance Auditor. This role focuses on reviewing and auditing deals across Napleton’s dealership network to ensure compliance with our variable operations standards. The ideal candidate has 2+ years of automotive billing or dealership accounting, experience with CDK, Route One, and strong MS Office skills. Travel up to 10% may be required. #J-18808-Ljbffr

Documentation & Coding Auditor - Billing CompliancePerforms coding and documentation quality audits, provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities.Additional Qualifications/ResponsibilitiesPlan and perform proactive compliance activities, including risk-based audits, pre-bill or concurrent reviews, data monitoring, targeted education, policy or template reviews, and department consultations.Identify and address billing compliance risks before issues escalate by using audit trends, payer updates, denial patterns, regulatory changes, stakeholder feedback, and risk assessment results.Partner with departments before new services, workflows, locations, provider groups, or documentation tools are implemented to assess and reduce billing, coding, documentation, supervision, and reimbursement risks.Maintain or contribute to tracking tools, such as issue logs, risk registers, work plan trackers, audit...

Seattle Children’s seeks a Research Compliance Auditor to support the Research Integrity Officer in implementing the Research Compliance Program. You will conduct audits, monitor activities, and provide training while maintaining Responsible Office of Research Compliance documentation. The role emphasizes billing compliance and grant management with strict confidentiality. You will assist with investigations and ensure adherence to billing regulations, working with a high level of autonomy #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

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 muchmore. Ready to start building a rewarding career in a positiveenvironment where you can develop and thrive? Join us as wechange the future of health care. About TTUHSC Texas Tech University Health Sciences Center is enriching the livesof others by educating students, providing excellent patient care,and advancing knowledge through innovative research. TTUHSCgraduates more health care professionals than any other health careinstitution in the state, conferring 24.2% of all degrees andcertificates awarded from health-related institutions in Texas. Byproviding comprehensive clinical services to more than 10 millionindividuals across 121 counties, TTUHSC is dedicated to advancingthe health of people throughout Texas and beyond. This is whereworld-class...

A healthcare service organization is seeking a Medical Coding and Billing Compliance Auditor to perform coding audits and ensure compliance with regulations. The role requires extensive coding knowledge, analytical skills, and a strong background in Microsoft Office applications. Applicants should have a current coding credential and a minimum of three years of outpatient coding experience. This is a full-time remote position. #J-18808-Ljbffr

A healthcare service organization is seeking a Medical Coding and Billing Compliance Auditor to perform coding audits and ensure compliance with regulations. The role requires extensive coding knowledge, analytical skills, and a strong background in Microsoft Office applications. Applicants should have a current coding credential and a minimum of three years of outpatient coding experience. This is a full-time remote position. #J-18808-Ljbffr

Minimum Qualifications Bachelor’s degree or equivalent and at least four years of relevant experience. Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA) required. Job Summary Utilize advanced skills necessary to audit documentation, coding, and reimbursement of professional, hospital/facility inpatient and outpatient billing. Ensure that documentation is complete and accurately reflects/supports the coded level of service. Audits will determine if the billed services are consistent with medical record documentation and in accordance with the appropriate third-party billing regulations and/or standards. Assist with the development and implementation of pre- and post-audit education as needed. Job Duties Utilizes auditing software to select and conduct random or focused audits of professional and hospital/facility inpatient and outpatient billing based on determined criteria. Conducts prospective and retrospective professional and...

Brightli is seeking an Integrity Specialist, Market in Springfield, MO, to safeguard billing accuracy, coding integrity, and regulatory compliance across behavioral and medical health services. You'll conduct audits, identify improvement opportunities, and collaborate with leaders across departments to strengthen our compliance program. This role requires a detail-oriented professional with analytical skills, strong communication, and a commitment to ethical practices. #J-18808-Ljbffr

Sarah Bush Lincoln in Mattoon, IL is seeking a Coding Auditor-Professional to audit coding assignments, train staff, and manage E/M and modifier coding. You will work with providers, coders, nursing and external organizations to ensure accurate documentation and compliant coding. Hours are full-time (40 hours per week). Requirements include High School Diploma; CPC, CEMA within 6 months; CPMA within 1 year. Compensation starts at $23.87/hour, with a range up to $37.00/hour based on experience. #J-18808-Ljbffr

Healthcare Fraud Shield is seeking a Coding Auditor, a professional coder who will review medical records and coding accuracy against billed ICD-10-CM, CPT, HCPCS, and Revenue codes. Under SIU leadership, you will perform routine reviews and document findings to support compliant reimbursement. The role requires strong attention to detail, knowledge of coding guidelines, and strict adherence to privacy and security standards. #J-18808-Ljbffr

Healthcare Fraud Shield is seeking a Coding Auditor, a professional coder who will review medical records and coding accuracy against billed ICD-10-CM, CPT, HCPCS, and Revenue codes. Under SIU leadership, you will perform routine reviews and document findings to support compliant reimbursement. The role requires strong attention to detail, knowledge of coding guidelines, and strict adherence to privacy and security standards. #J-18808-Ljbffr