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300 compliance auditor jobs found

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United Health Services
Full Time
 
Coding Auditor
United Health Services Binghamton, NY, USA
Coding Auditor Binghamton, NY Weekly hours: 40 Shift: Days Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness . Position Overview This auditor performs quarterly internal coding and documentation audits for CDI and inpatient coders. They will research, analyze, and respond to inquiries regarding coding and documentation compliance in accordance with all coding guidelines and Medicare/Medicaid regulations. This position works closely with the Cobius Team to review all denials and submits written appeals, when appropriate. They are responsible for monthly education for the CDI and inpatient coding staff. They also assist with coding, documentation, and billing questions to ensure compliant coding and billing. This auditor will develop final audit reports based on findings/observations during the audit process to present to providers or other...

May 30, 2023
AAPC Recruiting Services
Full Time
 
AAPC Recruiting Services: External Client seeking an On-Site Certified Coder in CA
AAPC Recruiting Services CA, USA
Certified Coder is a nonexempt position responsible for front office and general coding billing duties. Responsible for Coding Audits, Claim, Billing review and compliance.  Performance Requirements Knowledge Knowledge of billing practices and clinic policies and procedures. Knowledge of coding and clinic operating policies.  Knowledge of medical terminology Knowledge of health care insurance claim practices and compliance. Knowledge of computer systems, programs, and applications. Skills Proficient skills in computer programs. Skill in using a calculator. Abilities Ability to understand and interpret policies and regulations. Ability to read and interpret medical charts. Ability to examine documents for accuracy and completeness. Ability to communicate effectively and work with others.   Major Duties and Accountabilities Coordinates with clinical staff to verify charge and/or...

Jun 01, 2023
AAPC Recruiting Services
Full Time
 
AAPC Recruiting Services: Senior IR Medical Coder
AAPC Recruiting Services Remote
Essential Job Functions: 100% remote Full-time, permanent opportunity Perform quality assurance audits on internal coders, clients, and procedures, as assigned. Serve as a trusted asset to answer all Coder questions, as they relate to Interventional Radiology Coding. Will accurately perform audits on coders. Will perform any other audits needed as assigned. Perform MIPS Audits as assigned. Assigning CPT, HCPCS, ICD-10-CM and ASA codes. Ensuring compliance with medical coding policies and guidelines. Performs other related duties as assigned. Required Skills: Ability to communicate in a clear, professional, and timely manner with all staff members. Proficient in Microsoft Office Suite. Ability to work independently and in a fast-paced environment. Strong problem-solving skills. Strong analytical skills. Excellent organizational skills and attention to detail. Education and Experience: High school diploma or equivalent required....

May 30, 2023
United Health Services
Full Time
 
Coding Compliance Educator
United Health Services Johnson City, NY, USA
Coding Compliance Educator Johnson City, NY Shift:  Days Hours per week:  40 hours Salary range : $27.47-$41.21 Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness. United Health Services is seeking a Coding Compliance Educator to join our UHS team in Binghamton, NY. This position ensures that the coding of diagnoses, procedures, and data complies with all coding rules, laws, and guidelines. Coding Compliance Educator Overview The educator is responsible for the coordination of activities to monitor physician documentation in the medical record with regard to applicable regulations and billing to support services rendered. Provides education to physicians and coders regarding documentation improvement opportunities for both facility and/or professional billing. They will research, analyze, and respond to inquiries regarding coding and documentation...

May 30, 2023
EC
Full Time
 
Certified Professional Coder
ENTAA Care Hybrid (Odenton, MD, USA)
Essential Skills of The Certified Professional Coder (CPC) Obtains operative reports for all posted surgeries and scans them into patient record. Uses correct coding guidelines to appropriately code surgical cases and posts surgical charges. Specializes in Workman’s Compensation claims, including obtaining authorizations as needed. Assists with review, assessment and retraining on provider audits. Prepares quarterly Assistant Surgeon Report. Trains and instructs providers and staff on appropriate coding and compliant documentation. Collects and enters patient’s insurance information into data base when appropriate. Responds to telephone calls from patients regarding account information, balances and insurance questions. Trains personnel new to the practice as necessary. Provides cross coverage for other billing personnel as required to ensure workflow is consistent. Additional duties as assigned and necessary for the function of both...

May 17, 2023
NM
Full Time
 
Certified Medical Coder
NMA Remote
NMA is a unique , niche medical industry. We provide professional services associated with intraoperative neuromonitoring. We value our employees and recognize and reward hard work. We offer our employees a full benefits package that includes: Medical, Dental, Vision, Life, 401k with matching, and more.   Job Responsibilities   We are currently looking for a full-time Certified Medical Coder to work out of our McKinney, Tx office. Duties and responsibilities include, but are not limited to the following:   Serve as an expert in all matters related to coding and billing.   Verify accuracy of billing data and audit claims. Review chart elements including face sheet, operative reports, History and Physical (H&P), Professional and Technical Reports and Superbills   Consult with Technologists, Surgeons, and Physician Reader’s as needed to obtain information required for Coding.   Create CMS...

May 16, 2023
Plymouth Bay Orthopedic Associates
Full Time
 
Certified Medical Coder - Orthopedic Coding
Plymouth Bay Orthopedic Associates Plymouth, MA, USA
A Career in Healthcare has Purpose. PBOA offers candidates of all experiences the opportunity to break into, or continue, a strong career in the healthcare industry. With various open positions available, qualified candidates will realize: The opportunity to break into the healthcare industry with zero experience; A pathway for professional growth and opportunity; Comprehensive certifications in safety, privacy, compliance and ethics; A sense of fulfillment by supporting local orthopedic care; The development of new skills and education; A supportive and collaborative team environment. We might be a great match if You: Find Empathy and Kindness are important; Have an enthusiastic personality with a desire to help others; Name problem-solving as part of your daily fulfillment; Retain a strong ability to communicate kindly and directly with co-workers; Embrace technology and systems are part of your life (i.e. a basic understanding of Microsoft...

May 09, 2023
EH
Clinical Compliance Auditor
Encompass Health Birmingham, AL, USA
Job Description ABOUT US As a national leader in post-acute care, Encompass Health (NYSE: EHC) offers facility-based patient care through its network of inpatient rehabilitation hospitals. With a national footprint that spans 157 hospitals in 37 states and Puerto Rico, the Company is committed to delivering high-quality, cost-effective rehabilitation. Encompass Health has been ranked by Modern Healthcare as a Best Place to Work, and our Home Office is consistently rated a Best Place to Work by the Birmingham Business Journal. POSITION PURPOSE The Clinical Compliance Auditor executes audits as a part of the company's compliance audit and controls program. The Clinical Compliance Auditor executes clinically-related (i. e. medical record and related billing) audit procedures to assess compliance-related controls to safeguard company resources, and ensures the effectiveness and efficiency of operations. This position, in conjunction with other Compliance team members, makes...

Jun 01, 2023
UH
Compliance Auditor
Utah Housing Corporation West Valley City, UT, USA
Utah Housing Corporation located in West Valley City , Utah is seeking to hire a full-time, experienced, self-directed individual for our Compliance Auditor position in our Multifamily Finance Department . Do you want to work where your loyalty, hard work, and a job well done are recognized? Would you like to use your auditing, inspection, and compliance monitoring skills to contribute to an organization that makes a difference in your community? If so, Utah Housing Corporation may be the place for you! This Compliance Auditor earns $45,000 - $58,500 depending on education and experience. Our comprehensive benefits and flexible work hours are great! They include employer contributions to Utah Retirement Systems (URS) , and PEHP, with monthly contributions to an HSA . Dental and vision plans , as well as available medical and dependent care flex accounts . Group term life and accident insurance, a 401(k) plan, a 457 plan, an IRA, a Roth IRA, and other...

Jun 01, 2023
NE
Compliance Auditor
North End Teleservices, LLC Omaha, NE, USA
Job Description Internal Compliance Auditor for North End Teleservices: The Compliance Auditor at North End Teleservices, LLC (NET) is responsible for ensuring the company is complying with both government and commercial regulations and sometimes is tasked with enforcing NET policies and procedures. Internal auditors are crucial to the integrity of our business. They will investigate professional records, policies, and procedures to ensure NET and their employees comply with laws and regulations, monitor risks, and evaluate internal controls. This role is imperative for NET to solidify any potential operational and administrative areas of concern for our company to prevent loss of revenue and ensure compliance with all processes and laws. The NET internal auditor must serve as: * A catalyst for growth through Risk Management, Governance, and Internal Controls. * An interface between different NET departments/programs. * An advisor to the Compliance Manager, while successfully...

Jun 01, 2023
Ao
Compliance Auditor
Archdiocese of Philadelphia Philadelphia, PA, USA
Job Description This job description explains the detail and general nature of the position; and overview of why the job exists and what the job is to accomplish. Job title Compliance Auditor, Full-Time Reports to Director and Assistant Director Location Office for Child and Youth Protection Overtime Non-Exempt, Based on Job Duties Job purpose The Compliance Auditor is responsible for the monitoring of the compliance of Archdiocesan parishes, schools, and entities with policies as they relate to working with children. Duties and responsibilities * Conducts on-site audits to ensure compliance with policies by examining and analyzing records, reports, operating practices, and documentation; recommending opportunities to strengthen the internal control structure. * Also conducts audits of data entered into the database. * Prepares for audit by researching materials; formulating a plan of action. * Communicates audit progress and findings by preparing reports; providing information in...

Jun 01, 2023
CT
Associate Compliance Auditor
Chicago Teachers' Pension Fund Chicago, IL, USA
Job Description General Description: Under the direct supervision of the Compliance Audit Supervisor, the Associate Compliance Auditor is responsible for ensuring compliance with CTPF's standard operating procedures (SOP) and performing audits of a member's benefit before the retirement or refund benefit is finalized. The Associate Compliance Auditor performs audits to ensure accurate and timely benefits are distributed to members. Job Requirements: Primary Responsibilities ● Perform audits of members' accounts to ensure accurate benefits are being disbursed (i.e., pension, refunds, deceased and disability) ● Build strong working relations with internal departments and Employers to gather information and resolve member audit issues with minimal assistance ● Assist with identifying areas for improvement and providing recommendations in improving SOPs and department processes ● Support Senior Compliance Auditor to develop, review and update the SOP and flowcharts for final approval...

Jun 01, 2023
TC
Cybersecurity Risk Management Framework (RMF) Compliance Auditor
Trideum Corporation San Antonio, TX, USA
Job Description Cybersecurity Risk Management Framework (RMF) Compliance Auditor Full-Time JBSA-Ft. Sam Houston (San Antonio), TX About Us Trideum Corporation is a privately-owned company, committed to embracing the world's toughest challenges with a servant's heart. Through dedicated hard work and commitment, we provide distinctive quality and unparalleled customer service in all aspects of our business. We also know that our employees are the key to our success, and it is our mission to take care of them so they can take care of our customers and communities where we live, work, and play. Position Summary We are seeking a candidate who is passionate about the implementation and compliance of cybersecurity requirements within DoD. The Cybersecurity RMF Compliance Auditor assists the Information System Owner (ISO) with establishing the policies and ensuring a valid Authority To Operate-Type (ATO-Type) is managed in Enterprise Mission Assurance Support Service (eMASS) for the...

Jun 01, 2023
HV
Compliance Auditor
HomeVestors of America, Inc. Dallas, TX, USA
Job Description Compliance Auditor for an established franchisor serving a network of 1,100+ franchises nationwide. The position is a hands-on role and will work closely with in-house attorneys to ensure compliance with the transaction reporting requirements of the company's franchise agreement. This position reports directly to the General Counsel Note - This position is in Dallas with opportunities for hybrid work. Responsible for performing complete property audits of all franchisees, verifying compliance with the franchise agreement. * Research public records for property acquisition, sale, or assignment activity. * Research legal entities and their owners/officers. * Prepare summaries of audit findings and explanatory correspondences. * Keep very detailed records of all audit activity and results. * Cross-departmental work to ensure proper billing of all fees and reporting activities of franchisees. * Provide summary and detailed updates to management as needed on status of...

Jun 01, 2023
eI
Compliance auditor
eBay Inc. Austin, TX, USA
Are you looking for a company that encourages passion, courage and creativity, where you can be on a team crafting the future of global commerce? If you’re interested in joining a purpose driven community that is dedicated to crafting an ambitious work environment, join eBay! At the core of everything we do, we ensure that eBay’s customers are front-and-center in all our strategic decisions and that we implement our plans with our customers as our most important priority. Reporting to the Senior Manager, Operational Risk and Controls, as the Sr. Compliance Auditor , you will be a key member within our Global Customer Service (GCX) group. Primary Job Responsibilities Assist the organization with the development of business processes and controls Audits of controls and risk areas on established frequency. Maintain testing schedules. Follow up on open remediation areas/issues Document process controls, flowcharts, policies Assist the business in developing...

Jun 01, 2023
WC
Compliance Auditor
Wallick Communities Cincinnati, OH, USA
Wallick is currently seeking a qualified Compliance Auditor for a new role on the Compliance team which will be a remote position requiring extensive travel to field sites. This position works to ensure Wallick properties attain Satisfactory or better HUD MOR ratings. You will be positioned for complete success through our innovative training and onboarding program. Benefits: ⦁ Pay on demand (access your money as soon as you earn it) ⦁ Paid Parental Leave ⦁ Paid time off & Holiday Pay ⦁ Health, Dental and Vision insurance effective the first day of the next pay period following the date of hire, typically within 2 weeks. ⦁ Company provided uniforms. ⦁ Gym membership or Fitness equipment reimbursement. ⦁ Company paid life and long-term disability insurance. ⦁ Voluntary life, short-term disability, accident, critical illness, and hospital indemnity coverage ⦁ 401(k) with a company match after 90 days ⦁ Tuition reimbursement ⦁ Employee Referral...

Jun 01, 2023
TJ
Compliance Auditor - Entry Level $33,280
Thomas J Henry Law, PLLC Austin, TX, USA
Job Description Compliance Auditor position starting salary $33,280 annually. Higher starting salary with the right experience combined with generous salary growth potential. Job Summary: This position focuses on reporting. High level of attention to detail is required; proofreading or editing skill set is a plus. Must have ability to manage deadlines with multiple priorities, work under pressure, and appropriately handle confidential information. Ability to communicate professionally with all levels of personnel in the firm. Impeccable judgment, discretion, respect, and integrity is required. Must appreciate high volume in a fast-paced environment. This position reports directly to Attorney Group Director. Job Responsibilities: * Reports to Group Director * Must have knowledge of required performance metrics * Must be able to work within dashboards * Creation of standard reports to include customized reports as requested * Create and/or maintain meticulous records, spreadsheets,...

Jun 01, 2023
SR
Senior Global Compliance Auditor
Stealth Recruiting Services Chicago, IL, USA
Job Description 95k to 110k Job Description The Senior Compliance Auditor has the primary responsibility to conduct global sales and marketing compliance audits for the US operating divisions and international affiliates. Scope may include but not limited to compliance audits in the following broadly described areas: * Research Funding * No-Charge goods * HIPAA/Privacy Laws * FCPA * Anti-Bribery * Commercial Contracting/Pricing. Travel - 15% to 35% Domestic and International Qualifications What you will bring! * At least 3 years of experience with a major public accounting, consulting or law firm in a client-facing capacity * Broad knowledge and experience in FCPA and/or the healthcare industry * Bachelor's Degree in from a four-year college or university * 15 - 35% travel to international and U.S. locations Why is This a Great Opportunity Our client is one of the top global pharma's. This is a highly visible Leadership Development Rotation Program. You will spend 24 months in the...

Jun 01, 2023
SR
Senior Global Compliance Auditor - Chicago IL
Stealth Recruiting Services Dallas, TX, USA
Job Description 95k to 110k Job Description The Senior Compliance Auditor has the primary responsibility to conduct global sales and marketing compliance audits for the US operating divisions and international affiliates. Scope may include but not limited to compliance audits in the following broadly described areas: * Research Funding * No-Charge goods * HIPAA/Privacy Laws * FCPA * Anti-Bribery * Commercial Contracting/Pricing. Travel - 15% to 35% Domestic and International Qualifications What you will bring! * At least 3 years of experience with a major public accounting, consulting or law firm in a client-facing capacity * Broad knowledge and experience in FCPA and/or the healthcare industry * Bachelor's Degree in from a four-year college or university * 15 - 35% travel to international and U.S. locations Why is This a Great Opportunity Our client is one of the top global pharma's. This is a highly visible Leadership Development Rotation Program. You will spend 24 months in the...

Jun 01, 2023
BS
Senior Global Compliance Auditor
Buckingham Search North Chicago, IL, USA
Job Description The Senior Global Compliance Auditor has the primary function to conduct global sales, marketing, and healthcare compliance audits and formulate recommendations for improving operating performance and controls. The scope of compliance audits may include, but is not limited to, the following areas: * Anti-Bribery / Anti-Corruption * Promotional / Non-promotional practices * Third Party Relationships * Grants & Donations/Research Funding * Monitoring & Transparency Reporting * Patient Support Programs * Contracting / Pricing * Privacy Laws Responsibilities: * Communicate and present audit findings professionally to executive senior management as well as his/her peer group * Apply intelligent considerations and sound risk-based reasoning when evaluating audit findings * Identify key risks and plan audits accordingly to address those risks * Find opportunities for improvements in sales & marketing compliance practices when measured against corporate...

Jun 01, 2023
BS
Global Compliance Auditor - Biopharma
Buckingham Search North Chicago, IL, USA
Job Description We are representing a prestigious biopharmaceutical company that believes in new approaches to addressing today's health issues. With 28,000+ employees and medicines available in over 170 countries, our client combines advanced science, expertise, and passion to solve serious health issues and make a remarkable impact on people's lives. Our client's Global Internal Audit function is seeking a Senior Global Compliance Auditor to join their team. The Senior Compliance Auditor will play a critical role in executing risk-based assurance and advisory services to internal stakeholders, senior management, and the Audit Committee of the Board. Key Responsibilities: * Plan and execute audits of various processes/locations, both U.S. and international * Compile and analyze large sets of data from multiple sources * Partner with peers to create a risk assessment analysis of proposed audits of entities, processes, or critical systems * Prepare and present audit findings to...

Jun 01, 2023
SH
SENIOR COMPLIANCE AUDITOR - HYBRID
SolutionHealth Manchester, NH, USA
Job Description POSITION SUMMARY * The Senior Compliance Auditor, under direction of the Director, Corporate Compliance-Chief Compliance and Privacy Officer, is responsible for the development and implementation of a compliance risk assessment program and associated risk-based compliance work plans for SolutionHealth, as well as assisting with other compliance monitoring and auditing activities as identified as high risk in the healthcare industry or through internal assessments KEY RESPONSIBILITIES * Assists in the development and implementation of a Compliance Risk Assessment that will facilitate the creation of a risk-based compliance work plan * Conducts compliance monitoring and auditing activities of SolutionHealth activities and operational areas for compliance with applicable federal and state statutes, regulations, and guidelines, and SolutionHealth policies and procedures. * Assists with identifying compliance areas to be reviewed based on industry standards and...

Jun 01, 2023
TS
Compliance Auditor - To 67K - Cherry Hill, NJ - Job # 2929
The Symicor Group Cherry Hill, NJ, USA
Job Description The Position We seek to fill a Compliance Auditor role in the Cherry Hill, NJ area. The candidate will be responsible for supporting the corporate compliance program. The position includes a generous salary of up to $67K and benefits. (This is not a remote position). Compliance Auditor responsibilities include: * Conducting audits of inpatient and outpatient hospital regulatory requirements, including billing, coding, and documentation, and related processes to determine the organizational integrity of billing facility and technical hospital fees, including detection and correction of documentation, coding, and billing errors. * Preparatory work for reviews/audits including developing a scope of work. * Reviewing available documentation. * Assisting in the development of policies and procedures that establish standards for compliance, as well as preparation of other guidance documents and tools to assist providers and staff in appropriate billing, coding, and...

Jun 01, 2023
EH
Clinical Compliance Auditor
Encompass Health Birmingham, AL, USA
Job Description ABOUT US As a national leader in post-acute care, Encompass Health (NYSE: EHC) offers facility-based patient care through its network of inpatient rehabilitation hospitals. With a national footprint that spans 157 hospitals in 37 states and Puerto Rico, the Company is committed to delivering high-quality, cost-effective rehabilitation. Encompass Health has been ranked by Modern Healthcare as a Best Place to Work, and our Home Office is consistently rated a Best Place to Work by the Birmingham Business Journal. POSITION PURPOSE The Clinical Compliance Auditor executes audits as a part of the company's compliance audit and controls program. The Clinical Compliance Auditor executes clinically-related (i. e. medical record and related billing) audit procedures to assess compliance-related controls to safeguard company resources, and ensures the effectiveness and efficiency of operations. This position, in conjunction with other Compliance team members, makes...

Jun 01, 2023
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