1344 billing compliance auditor jobs found

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...

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...

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

Texas Tech University Health Sciences Center is seeking a Documentation and Coding Auditor to support the billing compliance program. The role involves proactive monitoring, auditing, education, and risk assessment to prevent and respond to billing and documentation risks. The position emphasizes collaboration with providers, residents, coding staff, clinic administrators, and leadership, with a focus on clear communication and effective risk mitigation strategies. #J-18808-Ljbffr

University of Texas Southwestern Medical Center seeks a Hospital Billing Auditor to join the Office of Institutional Compliance & Audit Services. You will help ensure accurate hospital billing, navigate Medicare/Medicaid and payer requirements, and strengthen billing integrity across services. The role requires a bachelor’s degree and 5 years of compliance experience, with certification preferred. It reports to the Office of Institutional Compliance & Audit Services and offers a path for #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

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

Endeavor Health is seeking a Billing Compliance Senior Auditor in Evanston, IL for a hybrid, full-time role. You will conduct comprehensive audits of coding and billing across facilities, ensuring accuracy and regulatory compliance with payer rules. You will analyze medical records, lead investigations, and identify trends and risks, while maintaining thorough documentation and supporting external audits. Proficiency in Excel and Medicare/Medicaid guidelines is essential. #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

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

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

Yale is seeking a Medical Billing Auditor to coordinate and conduct audits of billing, coding and documentation across 18 clinical departments. You will train physicians and staff on compliance, identify coding gaps, and report findings to leadership, with a remote-eligible role based in CT. CPC certification should be pursued if not already held within 12 months. The position requires strong ICD-10 and CPT-4 expertise, solid data analysis, and proficiency in Word, Excel and Access, with #J-18808-Ljbffr

Napleton Automotive Group is seeking a Compliance Auditor for an Automotive Dealership Biller role at our Oak Brook Terrace offices. The position involves reviewing and auditing deals to ensure compliance with our variable operations standards, working with store accounting teams daily, and upholding high ethical standards. Requirements include 2 years of automotive billing, license and title or automotive accounting experience, familiarity with Route One and CDK, and strong Microsoft Office #J-18808-Ljbffr

Socket.dev is seeking a Compliance Specialist – Coding and Billing to help design and execute risk-based billing and coding audits in accordance with applicable regulations. The role collaborates with senior compliance leaders to enhance the effectiveness of the compliance program and ensure alignment with federal and state healthcare laws. You will develop audit plans, analyze data from various databases, prepare clear audit reports, and educate teams on coding and reimbursement updates. #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

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

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

NYU Langone Health is seeking a Senior Compliance Specialist to support Hospital Billing Compliance by auditing facility and technical fees and advising on improvements. You will work with leadership to ensure adherence to federal and state regulations and provide education to providers and staff. The role requires deep knowledge of ICD/CPT/HCPCS coding, DRG/APC assignments, and medical necessity reviews. Strong communication, analytics, and collaboration with Revenue Cycle are essential. #J-18808-Ljbffr

OrthoVirginia, Virginia's largest provider of musculoskeletal care, seeks a Medical Auditor (Billing & Coding) to join our team. This hybrid role requires travel by car to regional offices and focuses on auditing coding and documentation to ensure compliance with federal regulations. Under the supervision of the Billing & Coding Compliance Manager, you will educate providers, monitor the compliance program, perform audits, and prepare reports to support accurate coding and documentation across #J-18808-Ljbffr

1.0 FTE Full time Day - 08 Hour R2658919 Remote USA 108610021 Admin Compliance Business & Administration 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 Compliance Educators to address compliance issues. They are responsible for conducting...

DaMar Staffing seeks a Compliance Auditor to support the corporate compliance program in the Cherry Hill, NJ area. The role focuses on audits of billing, coding, and documentation to ensure regulatory compliance and organizational integrity, with a competitive salary and benefits. This on-site position excludes remote work. The ideal candidate holds a healthcare or business degree, demonstrates strong communication and analytical abilities, and can develop policies, procedures, and guidance to #J-18808-Ljbffr