1526 compliance analyst jobs found

* This is a hybrid position to be located in WI with travel required. * JOB SUMMARY The Coding and Billing Compliance Analyst plays a critical role in safeguarding the accuracy, integrity, and regulatory compliance of coding and billing operations across all service lines.  This position supports the organization’s revenue cycle and compliance initiatives by conducting detailed coding and billing reviews, identifying areas of risk, and contributing to the development of corrective action plans and educational programs.  The analyst ensures adherence to federal and state billing regulations, including Medicaid/Medicare guidelines, HRSA program requirements, and Office of Inspector General (OIG) guidance specific to Federally Qualified Health Centers (FQHCs).  The Analyst collaborates with providers, billing teams, compliance officers, and revenue cycle leadership, to improve clinical documentation, optimize reimbursement, and maintain full compliance with all applicable...

Location: Orting, Washington, United StatesCompany: State of WashingtonPosted: 2026-09-06Washington State Department of Veterans Affairs seeks a Compliance Auditor (Management Analyst 4) to join the team at the Washington Soldiers Home in Orting, WA. The role supports the agency’s compliance framework, risk management, and internal controls through evaluating governance and operations.This full-time, hybrid position requires coordinating audits, researching laws and CMS/Medicare requirements, and presenting findings to program managers and leadership.#J-18808-Ljbffr

Washington State Department of Veterans Affairs seeks a Compliance Auditor (Management Analyst 4) to join the team at the Washington Soldiers Home in Orting, WA. The role supports the agency’s compliance framework, risk management, and internal controls through evaluating governance and operations. This full-time, hybrid position requires coordinating audits, researching laws and CMS/Medicare requirements, and presenting findings to program managers and leadership. #J-18808-Ljbffr

The AI Audit Analyst is responsible for conducting risk assessments, reviews, special projects, and other activities on Artificial Intelligence (AI) solutions for the enterprise, across all lines of business and functions, to ensure Elevance Health develops and deploys AI technologies consistent with our internal standards, policies, contracts, laws, and regulations. This position is an exciting opportunity to provide valuable insights to the AI business to improve the effectiveness of risk management, monitoring, and governance processes. How you will make an impact: Assists the development and execution of high-quality risk assessments of AI solutions. Perform reviews of AI solutions, testing for compliance to Elevance Health standards, policies, and regulations. Identify risks and collaborate with AI system team leadership and business management on testing and evaluation procedures, which includes working with the AI business on process, controls, documentation, and...

Compliance Auditor Management Analyst 4 Full- Time, Permanent Orting, WA The Washington State Department of Veteran Affairs is seeking a Full-Time Permanent Compliance Auditor (Management Analyst 4) to join the team at the historic Washington Soldiers Home in Orting, WA. As a key member of the WDVA Compliance Team, the incumbent assists the WDVA Internal Audit & Compliance Manager in establishing and promoting the agency’s compliance framework, including the overall mandate guiding principles, roles and accountabilities for managing, monitoring, and continuously improving WDVA’s culture of compliance and internal controls. Please note: Standard business hours are Monday through Friday, 8:00 am to 5:00 pm. This position may be eligible for hybrid telework based on business needs, as approved by the appointing authority. The position will still require in-person presence. This position has been posted within the assigned pay range through Step L. Step M has not been...

Orting, WA The Washington State Department of Veteran Affairs is seeking a Full-Time Permanent Description Compliance Auditor Management Analyst 4 Full- Time, Permanent Orting, WA The Washington State Department of Veteran Affairs is seeking a Full-Time Permanent Compliance Auditor (Management Analyst 4) to join the team at the historic Washington Soldiers Home in Orting, WA. As a key member of the WDVA Compliance Team, the incumbent assists the WDVA Internal Audit & Compliance Manager in establishing and promoting the agency’s compliance framework, including the overall mandate guiding principles, roles and accountabilities for managing, monitoring, and continuously improving WDVA’s culture of compliance and internal controls. Please note: Standard business hours are Monday through Friday, 8:00 am to 5:00 pm. This position may be eligible for hybrid telework based on business needs, as approved by the appointing authority. The position will still require in-person...

Compliance Auditor Analyst Under the direction of the Compliance Officer the main duties for this position include: Analysis of coding and billing data, identification of trends and aberrations Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing guidelines Interpretation of coding, billing, and regulatory standards Preparation and completion of audit reports including recommendations, education and corrective action. Knowledge, Skills and Abilities: Strong computer skills specifically Microsoft word and Microsoft excel applications Strong analytical, problem-solving and time management skills Expertise in report writing and oral communications Ability to interpret regulations, payment and reimbursement systems, billing and coding guidelines and apply standards Familiarity with health information and/or medical records Able to organize work, prioritize assignments and meet...

Regulatory Analyst Coder Location: Primarily Remote (Periodic travel to Hyattsville, MD may be required) Employment Type: Full-Time Salary Range: $44,000 - $48,000 annually Important Position Information This is NOT an Information Technology (IT), software development, computer programming, cybersecurity, or technical coding position. The term "Coder" in this role refers to the process of classifying, categorizing, organizing, and analyzing regulatory information and data. Responsibilities focus on identifying themes, patterns, relationships, and compliance-related issues within content and records. No programming languages, software development, or technical coding experience is required. Position Summary Zimmerman Associates, Inc. (ZAI) is seeking a Regulatory Analyst Coder to support an Internet Surveillance Project focused on regulatory compliance, data evaluation, and information management activities. This is an excellent opportunity for a...

Regulatory Analyst Coder Location: Primarily Remote (Periodic travel to Hyattsville, MD may be required) Employment Type: Full-Time Salary Range: $44,000 - $48,000 annually Important Position Information This is NOT an Information Technology (IT), software development, computer programming, cybersecurity, or technical coding position. The term "Coder" in this role refers to the process of classifying, categorizing, organizing, and analyzing regulatory information and data. Responsibilities focus on identifying themes, patterns, relationships, and compliance-related issues within content and records. No programming languages, software development, or technical coding experience is required. Position Summary Zimmerman Associates, Inc. (ZAI) is seeking a Regulatory Analyst Coder to support an Internet Surveillance Project focused on regulatory compliance, data evaluation, and information management activities. This is an excellent opportunity for a detail-oriented...

Regulatory Analyst Coder Location: Primarily Remote (Periodic travel to Hyattsville, MD may be required) Employment Type: Full-Time Salary Range: $44,000 - $48,000 annually Important Position Information This is NOT an Information Technology (IT), software development, computer programming, cybersecurity, or technical coding position. The term "Coder" in this role refers to the process of classifying, categorizing, organizing, and analyzing regulatory information and data. Responsibilities focus on identifying themes, patterns, relationships, and compliance-related issues within content and records. No programming languages, software development, or technical coding experience is required. Position Summary Zimmerman Associates, Inc. (ZAI) is seeking a Regulatory Analyst Coder to support an Internet Surveillance Project focused on regulatory compliance, data evaluation, and information management activities. This is an excellent opportunity for a detail-oriented...

Washington State Department of Veterans Affairs in Orting, WA seeks a Compliance Auditor (Management Analyst 4) to strengthen internal controls and oversee the agency's compliance program. The role involves leading risk-based audits, reviewing CMS/Medicaid processes, and reporting findings to management. You will collaborate with program managers to implement corrective actions, monitor compliance, and ensure governance and regulatory adherence across WDVA facilities. #J-18808-Ljbffr

Join to apply for the Compliance Auditor Analyst role at Upstate Medical University 5 months ago Be among the first 25 applicants Join to apply for the Compliance Auditor Analyst role at Upstate Medical University Get AI-powered advice on this job and more exclusive features. Job Summary Position Summary: Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional coding and billing audits. Duties/Responsibilities Analysis of coding and billing data, identification of trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing guidelines. Interpretation of coding, billing, and regulatory standards. Preparation and completion of audit reports including recommendations, education and corrective action. Knowledge, Skills and Abilities: Strong...

Cooper University Health Care in New Jersey seeks a Compliance Analyst to support provider enrollment credentialing by auditing files and ensuring compliance with NCQA and The Joint Commission standards. The analyst will audit 100% of credentialing and recredentialing submissions, verify data in the credentialing database for completeness and accuracy, and serve as a subject matter expert and coach for Credentialing Analysts. Proficiency with Excel and Word is required. #J-18808-Ljbffr

Lexington Health in Columbia, SC is seeking a Corporate Compliance Analyst to analyze and audit LMC systems and the hospital medical record data to ensure charges billed are supported by documentation. You will monitor risk areas and conduct focused audits, preparing reports and meeting with physicians and APPs to review results. You will collaborate with Health Information Management and Revenue Integrity, draft formal reports, and educate staff on coding and billing changes while ensuring #J-18808-Ljbffr

A leading staffing and IT solutions provider is seeking a Compliance Analyst for a 6-month contract in Tampa, FL. The role involves coordinating government and compliance documents, analyzing complex issues, and developing risk mitigation strategies. Ideal candidates will have 2-3 years of experience in risk management, a strong audit background in financial institutions, and exceptional communication skills. This position offers a competitive hourly rate of $34 to $36. #J-18808-Ljbffr

Compliance Auditor needed! Join our growing organization! Onco360 has an immediate need for a Compliance Auditor. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Remote opportunity! Some Travel required - see details below Starting Salary at $60,000 and up, depending on experience Summary: The Compliance Auditor will assist the Onco360/CareMed/ConnectMed360 Compliance Team through the completion of routine and random pharmacy compliance audits at Onco360/CareMed/ConnectMed360 pharmacy locations to ensure all pharmacy activities and operations are executed in compliance with state and/or federal regulations and laws governing pharmacy operations. This individual provides support to Onco360/CareMed/ConnectMed360 pharmacy operations teams in answering compliance and regulatory questions based around their needs. The Compliance Auditor shall develop and provide...

Compliance Auditor needed! Join our growing organization! Onco360 has an immediate need for a Compliance Auditor. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Remote opportunity! Some Travel required - see details below. Starting Salary at $60,000 and up, depending on experience. Summary The Compliance Auditor will assist the Onco360/CareMed/ConnectMed360 Compliance Team through the completion of routine and random pharmacy compliance audits at Onco360/CareMed/ConnectMed360 pharmacy locations to ensure all pharmacy activities and operations are executed in compliance with state and/or federal regulations and laws governing pharmacy operations. This individual provides support to Onco360/CareMed/ConnectMed360 pharmacy operations teams in answering compliance and regulatory questions based around their needs. The Compliance Auditor shall develop and provide...

Renew Cannabis Co. seeks a Compliance Analyst to monitor adherence to state and local cannabis laws across facilities and transportation operations. This role conducts audits, reviews METRC data, maintains audit-ready records, supports inspections, and drives corrective actions with cross-functional teams. You will review regulatory requirements, identify gaps, and help implement compliant processes. The position requires strong attention to detail, organization, and travel to multiple sites as #J-18808-Ljbffr

SSM Health in Missouri is seeking a Compliance Analyst who will evaluate and strengthen internal controls across clinical and operational workflows within Epic systems, with a growing focus on AI-driven tools and automation. You will help ensure technologies are implemented safely, compliant, and reliable. The role provides leadership in process improvement and collaborates with other departments to drive compliant solutions while maintaining data integrity and security across healthcare #J-18808-Ljbffr

Compliance Auditor needed! Join our growing organization! Onco360 has an immediate need for a Compliance Auditor. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Remote opportunity! Some Travel required - see details below Starting Salary at $60,000 and up, depending on experience Summary: The Compliance Auditor will assist the Onco360/CareMed/ConnectMed360 Compliance Team through the completion of routine and random pharmacy compliance audits at Onco360/CareMed/ConnectMed360 pharmacy locations to ensure all pharmacy activities and operations are executed in compliance with state and/or federal regulations and laws governing pharmacy operations. This individual provides support to Onco360/CareMed/ConnectMed360 pharmacy operations teams in answering compliance and regulatory questions based around their needs. The Compliance Auditor shall develop and provide...

Compliance Auditor needed! Join our growing organization! Onco360 has an immediate need for a Compliance Auditor. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Remote opportunity! Some Travel required - see details below Starting Salary at $60,000 and up, depending on experience Summary: The Compliance Auditor will assist the Onco360/CareMed/ConnectMed360 Compliance Team through the completion of routine and random pharmacy compliance audits at Onco360/CareMed/ConnectMed360 pharmacy locations to ensure all pharmacy activities and operations are executed in compliance with state and/or federal regulations and laws governing pharmacy operations. This individual provides support to Onco360/CareMed/ConnectMed360 pharmacy operations teams in answering compliance and regulatory questions based around their needs. The Compliance Auditor shall develop and provide...

Five Rivers IT, Inc in Fair Lawn is seeking a Senior IT Security Compliance Analyst to lead audits and manage compliance initiatives for a diverse client base. This full-time role focuses on governance, risk, and compliance, offering competitive compensation ranging from $125,000 to $175,000. The ideal candidate will have a Bachelor's degree and over 5 years of experience in Information Security audits. Benefits include medical, dental, vision insurance, and a supportive environment for professional certification. #J-18808-Ljbffr

C3 Industries in Missouri is seeking a Compliance Analyst to monitor cannabis operations for compliance with state and local laws, regulations, and license conditions; you will audit activities, review seed-to-sale data, and maintain audit-ready documentation. The role supports regulatory reporting and inspections, assists with corrective actions, and collaborates with operations, legal, HR, and facilities to embed compliant practices across markets; travel to multiple sites may be required. #J-18808-Ljbffr

Home Franchise Concepts is seeking a Compliance Analyst in Flower Mound, TX, reporting to the Director of Compliance. The role supports a multi-brand franchise system by conducting systemwide audits, evaluating operational compliance, and guiding franchisees to implement corrective actions to protect brand integrity. The position collaborates with Operations, Finance, and Training to promote standards, mitigate risks, and maintain strong franchisor-franchisee relationships. #J-18808-Ljbffr