794 clinical compliance auditor jobs found

Senior Clinical Compliance Auditor page is loaded## Senior Clinical Compliance Auditorlocations: Flowood, MStime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR100294# Healthy Careers Start HereAt Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle.# Job Summary:The Senior Clinical Compliance Auditor serves as the primary clinical reviewer of data analysis findings, referrals, appeals and complaints related to Network Hospitals, Providers, Pharmacies, and other entities or programs suspected of inappropriate billing of claims to Blue Cross & Blue Shield of Mississippi. The incumbent is responsible for selecting, obtaining, coordinating, monitoring, and reviewing medical records and other relevant...

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

Clinical Compliance Auditor We're partnering with an innovative client in the biotechnology industry, and they're looking for a talented Clinical Compliance Auditor to join their dynamic team! If you're passionate about ensuring the highest standards in clinical trials and want to make a real impact, this is the opportunity for you. Don't waitapply today and take the next step in your career. Salary: $100,000-$150,000 Location: Remote Responsibilities: Oversee and regularly update the Clinical Trial Quality Management system to ensure alignment with current industry standards, guidelines, and best practices. Assist in the creation and evaluation of standard operating procedures (SOPs) and other essential controlled documents, such as forms, templates, and work instructions. Ensure adherence to SOPs and compliance with relevant standards, including ICH GCP E6 (R2). Lead the incident management process by tracking and addressing complaints, deviations, and corrective actions...

An innovative biotechnology firm is seeking a Clinical Compliance Auditor to ensure high standards in clinical trials. This remote role involves overseeing quality management systems, creating standard operating procedures, and leading audit processes. Candidates must have a Bachelor's or Master's degree in life sciences or engineering and 4-7 years of experience in the field. Strong auditing skills and relevant certifications are a plus. This position offers a competitive salary of $100,000-$150,000. #J-18808-Ljbffr

Clinical Compliance Auditor Clinical Los Angeles, CA, US Salary: $100,000-$150,000 Location: Remote We're partnering with an innovative client in the biotechnology industry, and they're on the lookout for a talented Clinical Compliance Auditor to join their dynamic team! If you're passionate about ensuring the highest standards in clinical trials and want to make a real impact, this is the opportunity for you. Don’t wait—apply today and take the next step in your career Responsibilities: Oversee and regularly update the Clinical Trial Quality Management system to ensure alignment with current industry standards, guidelines, and best practices. Assist in the creation and evaluation of standard operating procedures (SOPs) and other essential controlled documents, such as forms, templates, and work instructions. Ensure adherence to SOPs and compliance with relevant standards, including ICH GCP E6 (R2). Lead the incident management process by tracking and addressing...

General Purpose The Non- Clinical Compliance Auditor is responsible for performing compliance audits on operational, financial and regulatory matters to ensure accuracy and compliance with regulations. This role also involves participating in internal audits, investigations and ethics response, as well as providing education, training, and enforcement, as requested. Essentials Duties Conduct non-clinical compliance audits on operational and financial information to ensure accuracy and adherence to regulatory standards. Develop audit reports and identify areas of non-compliance, provide recommendations and request corrective actions. Assist Director, and DCCO with data analysis of internal audits, investigations as requested, in addition to preparing findings. Assist in the development and delivery of targeted educational materials based on internal audit findings and corrective action plans. Stay updated on state and federal regulations Assist in Triple Check...

General Purpose The Non- Clinical Compliance Auditor is responsible for performing compliance audits on operational, financial and regulatory matters to ensure accuracy and compliance with regulations. This role also involves participating in internal audits, investigations and ethics response, as well as providing education, training, and enforcement, as requested. Essentials Duties Conduct non-clinical compliance audits on operational and financial information to ensure accuracy and adherence to regulatory standards. Develop audit reports and identify areas of non-compliance, provide recommendations and request corrective actions. Assist Director, and DCCO with data analysis of internal audits, investigations as requested, in addition to preparing findings. Assist in the development and delivery of targeted educational materials based on internal audit findings and corrective action plans. Stay updated on state and federal regulations Assist in Triple Check...

A compassionate hospice care provider in Minnesota is seeking a Compliance Auditor to develop and execute compliance audit programs. Key responsibilities include conducting risk assessments, internal audits, and ensuring adherence to regulations while collaborating with various departments. The ideal candidate will have at least 2 years of relevant experience and strong analytical skills. This position offers a competitive annual salary ranging from $90,000 to $110,000 along with a comprehensive benefits package. #J-18808-Ljbffr

Compliance Auditor (Non-Clinical) St. Croix Hospice Join to apply for the Compliance Auditor (Non-Clinical) role at St. Croix Hospice Work Where You Matter! At St. Croix Hospice we guide patients and families through the end‑of‑life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter. Position Overview The Compliance Auditor is responsible for assisting with the development and implementation of the compliance audit program to ensure regulatory adherence, risk mitigation and operational integrity. This role ensures that St. Croix Hospice complies with federal and state laws and regulations and internal policies by identifying potential risks and working cross‑functionally to implement corrective actions. The Compliance Auditor will lead risk assessments, internal...

A leading cancer research institution in Tampa is seeking a Research Compliance Quality Auditor II. Responsibilities include conducting audits of clinical research for compliance, managing corrective action plans, and developing training materials. The ideal candidate should have a Bachelor's degree in a relevant field, an LPN/RN license, or equivalent experience in GCP auditing with at least four years in a quality research environment. This position offers a full-time schedule with working hours of 8 am to 5 pm from Monday to Friday. #J-18808-Ljbffr

Position Type Full Time Description Work Where You Matter! At St. Croix Hospice we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter. Compliance Auditor (Non-Clinical) Position Overview The Compliance Auditor is responsible for assisting with the development and implementation of the compliance audit program to ensure regulatory adherence, risk mitigation and operational integrity. This role ensures that St. Croix Hospice complies with federal and state laws and regulations and internal policies by identifying potential risks and working cross-functionally to implement corrective actions. The Compliance Auditor will lead risk assessments, internal audits and compliance investigations while collaborating with...

Position Type Full Time Description Work Where You Matter! At St. Croix Hospice we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter. Compliance Auditor (Clinical) Position Overview The Compliance Auditor is responsible for assisting with the development and implementation of the compliance audit program to ensure regulatory adherence, risk mitigation and operational integrity. This role ensures that St. Croix Hospice complies with federal and state laws and regulations and internal policies by identifying potential risks and working cross-functionally to implement corrective actions. The Compliance Auditor will lead risk assessments, internal audits and compliance investigations while collaborating with leadership...

Work Where You Matter! At St. Croix Hospice we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient's quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter. Compliance Auditor (Non-Clinical) Position Overview The Compliance Auditor is responsible for assisting with the development and implementation of the compliance audit program to ensure regulatory adherence, risk mitigation and operational integrity. This role ensures that St. Croix Hospice complies with federal and state laws and regulations and internal policies by identifying potential risks and working cross-functionally to implement corrective actions. The Compliance Auditor will lead risk assessments, internal audits and compliance investigations while collaborating with leadership to mitigate risks and...

A healthcare organization seeks a Compliance Auditor to ensure adherence to federal and state regulations. This role involves developing compliance audit programs, conducting risk assessments, and collaborating with various departments to enhance internal controls. The ideal candidate should have compliance auditing experience, strong healthcare regulation knowledge, and the ability to communicate effectively across teams. This position offers a salary range of $90,000 to $110,000, with additional employee benefits, including health insurance and retirement plans. #J-18808-Ljbffr

Overview Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administrations (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all. The Compliance Auditor supports Marin Community Clinics’ compliance, risk management, and quality programs by performing independent audits, monitoring activities, and data validation to ensure adherence to federal and state regulations. This includes HRSA Health Center Program requirements, FTCA, CMS billing and documentation rules, Medi-Cal, TJC standards, HIPAA/HITECH, 42 CFR Part 2, California health laws, and internal policies. The role works closely with clinical,...

Pharmacy Compliance Auditor – 340B Program Join to apply for the Pharmacy Compliance Auditor – 340B Program role at TriHealth . Job Description Play a vital role in ensuring access to affordable medications for underserved communities. Protect the integrity of the 340B Drug Pricing Program—a federal initiative that enables healthcare organizations to stretch resources and provide comprehensive care. As a Pharmacy Compliance Auditor, you’ll work closely with pharmacy leadership to conduct audits, monitor compliance, and identify opportunities for improvement. This role offers the chance to develop specialized expertise in 340B operations, gain advanced certifications, and make a meaningful impact on patient care and organizational success. Minimum Job Requirements Minimum of High School Degree or GED is required Must successfully complete Apexus 340B University within the first 6 months in the position. Advanced 340B Operations Certificate within the first 12 months....

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...

Job Description Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor- Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and eager to make a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position offers the perfect blend of in-office collaboration and remote work, all while contributing to an organization committed to excellence in patient care and regulatory adherence. In this pivotal role, you'll leverage your healthcare environment experience-whether as a Certified Professional Coder or similar professional-to audit and monitor clinical records, ensuring accuracy, completeness, and compliance. Your expertise with medical terminology, coding, and documentation will support our...

Corporate Compliance Auditor - Inpatient Focus LMHS Compliance Auditor Licking Memorial Health Systems (LMHS) is a leading, non‑profit healthcare organization dedicated to improving the health and well‑being of our community. Founded in 1898, LMHS remains a cornerstone of healthcare excellence in Licking County, offering a comprehensive spectrum of patient care services – from life‑saving emergency medicine to home healthcare – and specialized services in cancer, heart health, maternity, and mental wellness. When you join the LMHS team you become a vital part of your local community hospital. Working at LMHS is not just a job, it is an opportunity to directly impact the health and well‑being of friends, family, and neighbors. Your work extends beyond hospital doors into the heart of our community. Our commitment to diversity, equity, and inclusion ensures that every member of our community is served with respect and compassion. Under the general direction of the VP of Financial...