710 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 where to access...

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 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

Telecommuting Coding Auditor 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. 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 may be necessary to attend later meetings according to physician's schedule. We offer 12 weeks of...

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

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 may be necessary to attend later meetings according to physician's...

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 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 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

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

A leading children's hospital in Silver Spring, Maryland is seeking a Coding Auditor to ensure compliance in coding and billing practices. The ideal candidate will have an Associate's Degree or equivalent experience, along with certifications such as CCS or CPC. Responsibilities include performing audits, evaluating documentation and coding, and communicating effectively with team members. The position offers a salary range of $64,188.80 to $106,995.20, with additional job benefits in a full-time role. #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...

Overview 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. Summary 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 stakeholders...

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...

A healthcare compliance firm in Cherry Hill, NJ is seeking a Compliance Auditor to conduct audits of hospital regulations and ensure compliance. The role offers a salary of up to $67K and includes various responsibilities such as developing compliance policies, analyzing audit data, and providing educational training. The ideal candidate should have a degree in a healthcare or business-related field and strong communication skills. #J-18808-Ljbffr

A leading health care organization in Pensacola is seeking a Compliance Auditor to audit outpatient services claims. This entry-level role requires a Bachelor's Degree in Health Information Management and 5 years of healthcare experience. You will analyze records for compliance and educate staff on coding practices. The ideal candidate has excellent communication skills and a strong attention to detail. This position offers the opportunity to significantly impact healthcare compliance and reimbursement. #J-18808-Ljbffr