57 compliance auditor jobs found in Florida, NY

Overview Unified Women’s Healthcare is a company dedicated to caring for Ob-Gyn providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care. We take great pride in not just speaking about this but executing on it. As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our Ob-Gyn medical affiliates – enabling them to focus solely on the practice of medicine while we focus on the business of medicine. We are action oriented. We strategize, implement and execute – on behalf of the practices we serve. The Compliance Auditor performs comprehensive audit of care center locations/divisions. Reviews patient chart documentation for accuracy of Evaluation and Management (E/M) service levels, modifier use, in‑office...

Join to apply for the Quality Compliance Auditor role at embecta Join to apply for the Quality Compliance Auditor role at embecta embecta is a global diabetes care company that is leveraging its 100-year legacy in insulin delivery to empower people with diabetes to live their best life through innovative solutions, partnerships and the passion of more than 2,000 employees around the globe. For more information, visitembecta.comor follow our social channels onLinkedIn,Facebook,InstagramandX. Why join us? A career at embecta means being part of a team that values your opinions and contributions and that empowers you to bring your authentic self to work. Here our employees can fulfill their life’s purpose through the work that they do every day. You will learn and work alongside inspirational leaders and colleagues who are equally passionate and committed to fostering an inclusive, growth-centered, and rewarding culture. Our Total Rewards program – which includes competitive...

Experienced Medical Compliance Auditor 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 mission to uphold the highest standards of integrity and ethical practice. You'll conduct anesthesia chart reviews, identify billing and coding discrepancies, and communicate...

Energy Jobline is the largest and fastest growing global Energy Job Board and Energy Hub. We have an audience reach of over 7 million energy professionals, 400,000+ monthly advertised global energy and engineering jobs, and work with the leading energy companies worldwide. We focus on the Oil & Gas, Renewables, Engineering, Power, and Nuclear markets as well as emerging technologies in EV, Battery, and Fusion. We are committed to ensuring that we offer the most exciting career opportunities from around the world for our jobseekers. Job DescriptionJob Description Compliance Auditor Corporate Compliance Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum...

JOB PURPOSE: The Compliance Auditor will foster an environment that enhances and promotes compliance and adherence to all relevant federal, state, and local laws, rules and regulations applicable PACE, Part D, LHCSA and Article 28 requirements, etc., through audits. The Compliance Auditor is responsible for performing internal and external auditing functions for the Compliance Department of CenterLight. JOB RESPONSIBILITIES: The Compliance Auditor utilizes regulatory expertise to conduct effective risk assessments and assist in preparing annual audit plan. Develop comprehensive audit programs to address risks and evaluate compliance with governmental or other regulatory requirements. Assess control weaknesses by conducting independent audits according to the annual audit plan and develop appropriate documentation to support audit work performed. Use information effectively to support a viable position. Make self-available to help others solve problems. Measure...

Energy Jobline is the largest and fastest growing global Energy Job Board and Energy Hub. We have an audience reach of over 7 million energy professionals, 400,000+ monthly advertised global energy and engineering jobs, and work with the leading energy companies worldwide. We focus on the Oil & Gas, Renewables, Engineering, Power, and Nuclear markets as well as emerging technologies in EV, Battery, and Fusion. We are committed to ensuring that we offer the most exciting career opportunities from around the world for our jobseekers. Job DescriptionJob Description Overview Avanath is proud to be named one of the top property management companies to provide affordable housing for the workforce. Cultivating the American Dream is the purpose that binds the Avanath team. At Avanath, every day is an opportunity to make a difference in someone's life. Whether it is helping call one of our communities' home, providing excellence in customer service, or championing our...

Position Description: Come and join an amazing team that is passionate about what we do! Tower Water is a leading company in the environmental services industry, we are looking for someone that shares our values and passion for the work we do to join our team and manage accounts in the New York City Metropolitan Area. We are seeking a detail-oriented candidate who is passionate about water treatment and problem-solving. This individual will provide excellent customer service, address client concerns and provide field-oriented guidance throughout the New York Metropolitan area. This is an 80% autonomous position which requires the ability to meet and execute deadlines in a timely manner. The ideal candidate must be responsive, have a positive Can-Do attitude, and be practical exhibiting good judgement and decision-making skills, be flexible and capable of performing the job under various circumstances, such as last-minute schedule changes, exposure to the elements, and...

Job Description Job Description Position Description: Come and join an amazing team that is passionate about what we do! Tower Water is a leading company in the environmental services industry, we are looking for someone that shares our values and passion for the work we do to join our team and manage accounts in the New York City Metropolitan Area. We are seeking a detail-oriented candidate who is passionate about water treatment and problem-solving. This individual will provide excellent customer service, address client concerns and provide field-oriented guidance throughout the New York Metropolitan area. This is an 80% autonomous position which requires the ability to meet and execute deadlines in a timely manner. The ideal candidate must be responsive, have a positive Can-Do attitude, and be practical exhibiting good judgement and decision-making skills, be flexible and capable of performing the job under various circumstances, such as last-minute schedule changes,...

2 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well‑being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews medical record documentation to assign ICD‑10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance. Responsibilities: Enhances and maintains coding knowledge and skills for physician billing. Maintains strict adherence to patient confidentiality according to MHS standards and regulatory requirements. Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews coding edits. Reviews Local Coverage Determination...

Position Summary The Outpatient Coding Auditor is responsible for auditing coded outpatient medical records to ensure compliance with official coding guidelines, regulatory agencies, and internal policies. This role supports coding accuracy, education, and process improvement through detailed review of encounters, identification of trends and variances, and communication with coding staff and leadership. This position also collaborates with external vendors to monitor performance and incorporate industry best practices into audit feedback and education. Education High school diploma or equivalent required. Experience Minimum of 5 years of experience in hospital auditing or education experience ICD-10-CM and Outpatient CPT-4, HCPCs coding experience required. Knowledge of Medical Necessity APC,OCE, LCD, and NCD edits required. 3M Encoder experience, Meditech, EPIC, or CERNER preferred. Skills CCS or COC, CPC, RHIT, RHIA required. Knowledge of ICD-10-CM, CPT-4 and HCPCs coding,...

Job Type Part-time Description Required: 3-5 years of experience in acute care facility (hospital) medical coding auditing or compliance Location: Remote Job Summary: The Medical Coding Auditor is responsible for reviewing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies. Occasional travel may be required for audits or meetings. Key Responsibilities: • Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance. • Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines. • Identify and address coding discrepancies and recommend corrective actions. • Prepare detailed audit reports with findings and provide feedback on documentation and coding practices. •...

Ambulatory Practice Coder/Auditor Network—ON‑SITE Job Summary: The Coder is responsible for auditing medical records, including applicable diagnoses and operative/diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedural Coding System (HCPCS). The Coder identifies opportunities for improvement and ensures compliance with coding and documentation guidelines. In addition, the Coder provides education and training to providers and other agency coders based on the findings of the medical records audits. Responsibilities Audit medical records for coding accuracy using the current HCPCS, ICD and CPT coding guidelines. Identify patterns and opportunities requiring provider education; collaborate with providers and office staff to educate on proper coding and documentation. Identify service‑specific/provider‑specific trends for...

Ambulatory Practice Coder/Auditor Network - ON-SITE 2 days ago Be among the first 25 applicants Job Summary: The Coder is responsible for auditing medical records, including applicable diagnoses and operative/diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide education and training to providers and other agency coders based on the findings of the medical records audits. Does related work as required. Responsibilities Using the current HCPCS, ICD and CPT coding guidelines, audit medical records for coding accuracy. Identify patterns and opportunities requiring provider education. Work with providers and office staff to educate on...

Physician Billing (PB) Coding Auditor And Educator Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network. A day in the life of an Physician Billing (PB) Coding Auditor and...

Benefits: 401(k) Competitive salary Employee discounts Paid time off Overview: We are seeking a Clinical Coding Auditor & Trainer to lead DRG and medical record auditing and deliver staff training programs. This role supports quality improvement, compliance, and education across clinical and coding teams. Responsibilities: Conduct audits of staff work; report findings and improvement recommendations. Develop and deliver coding and DRG training programs. Revise policies and procedures to improve audit accuracy. Maintain training and audit records and track staff progress. Ensure compliance with company policies and healthcare standards. Requirements: RN, PA, MD, APRN, DO, or MBBS license. Associate's degree in Nursing or equivalent experience. 4+ years of DRG and/or medical record audit experience. 1 year of clinical experience in a hospital setting. Strong written communication skills. Preferred: Inpatient coding experience....

Multispecialty Surgery Coder II The Multispecialty Surgery Coder II will code for multispecialty surgery physicians primarily single path coding. Multi-specialty surgical coding experience, any trauma, urology, ENT, plastics, gen surg, OB/GYN, cardiovascular, interventional radiology, etc. Ability to extract data and apply appropriate ICD-10 diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM official guidelines for coding and reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve...

Clinical Coding Auditor & Trainer Location: Remote (U.S.) Must be willing to travel to New York twice annually Position Type: Full Time The Clinical Coding Auditor & Trainer is responsible for conducting clinical documentation and coding audits to ensure compliance with federal regulations, payer requirements, and company policies. This position focuses on DRG validation, inpatient...

Clinical Coding Auditor & Trainer Location: Remote (U.S.) – Must be willing to travel to New York twice a year for onsite meetings or training sessions. Position Type: Full Time This role is responsible for conducting clinical documentation and coding audits to ensure compliance with federal regulations, payer requirements, and company policies. The focus is on DRG validation, inpatient medical record auditing, and education/training for clinical and coding teams. Key Responsibilities Conduct DRG validation and inpatient coding audits to ensure medical record accuracy and compliance. Provide training and education to clinical, coding, and quality staff on coding guidelines, audit findings, and process improvements. Review clinical documentation and coding practices for adherence to federal and payer standards (CMS, AHIMA, AAPC, etc.). Evaluate and recommend process improvements to enhance coding accuracy and quality of medical record documentation. Collaborate with...

We are seeking a highly qualified candidate for a Clinical Certified Coder role within our client's Special Investigations Unit. The Clinical Coder will support the organization in the detection, prevention and investigation of suspected fraud, waste, and abuse. Scope of Role & Responsibilities: Review medical records and healthcare claims to determine the accuracy and compliance of billed codes with appropriate regulations, standards, policies, and procedures. Conduct audits of high-risk claims and billing patterns to ensure adherence to healthcare regulations and company policy, and detect potential FWA. Collaborate with other SIU team members to evaluate suspected cases of fraudulent activities, such as over-utilization of services, upcoding, and billing for non-medically necessary services. Create detailed reports with medical review findings that include research, rationale, sources, and corrective action recommendations to the SIU Department. The reports will also...

Coding Auditor - Risk Adjustment Join to apply for the Coding Auditor - Risk Adjustment role at CareOregon Estimated Hiring Range $72,765.00 - $88,935.00 Bonus Target 5% Annual Essential Responsibilities Perform and assist with a variety of coding-related audits for providers and other entities. Assist with RADV and other diagnosis code related audits (Applies to Finance department roles only). Review medical records to verify that complete and accurate diagnosis codes are captured in claims and retrospective chart review data. Communicate audit results and recommendations for improvement to providers when needed. Create and maintain processes for tracking audit results and outcomes of reviews. Identify, track, analyze and report on any trends revealed in audits. Develop and maintain centralized policy, process and compliance-related documentation and training resources to support the education of providers and internal stakeholders. Develop or assist with the...

3 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Confidential Accelerating Growth Through People & Partnerships | Experts in Talent Acquisition & Business Development Clinical Coding Auditor & Trainer Location: Remote (U.S.) – Must be willing to travel to New York twice annually Position Type: Full Time Benefits include: Comprehensive medical, dental, and vision insurance 401(k) with company match and stock purchase plan Tuition reimbursement and professional certification support Paid time off and holidays Remote work flexibility Work Environment & Other Details: Remote role with limited travel (approx. 2 trips/year to New York). No relocation or sponsorship available. Must have reliable internet and workspace for remote auditing activities. Reports to the Director of Clinical Audit & Compliance or equivalent leadership role. The Clinical Coding...

Senior Specialist, Coding Auditor Join to apply for the Senior Specialist, Coding Auditor role at Oscar Health. Hi, we’re Oscar. We’re hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and abuse (FWA) on all our operations. You will report to the Manager, SIU Coding Audit. Work Location Oscar is a blended work culture where everyone, regardless of work type or location,...

Clinical Coding Auditor & Trainer Location: Remote (U.S.) - Must be willing to travel to New York twice annually Position Type: Full Time The Clinical Coding Auditor & Trainer is responsible for conducting clinical documentation and coding audits to ensure compliance with federal regulations, payer requirements, and company policies. This position focuses on DRG validation , inpatient medical record auditing , and education/training for clinical and coding teams. The role is primarily remote, with occasional travel to New York twice a year for onsite meetings or training sessions. The ideal candidate will possess strong analytical and clinical expertise, proficiency in medical coding standards, and exceptional written communication skills to ensure audit accuracy and compliance across departments. Key Responsibilities: Conduct DRG validation and inpatient coding audits to ensure medical record accuracy and compliance. Provide training and...

Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. If you live...