49 compliance auditor sr jobs found

Overview Compliance Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. Position Summary: Performs complex-level professional internal auditing. Work involves leading or conducting compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance....

***To be considered for the role, you must permanently reside in one of the following states: Alabama, Arkansas, Florida, Georgia, Kentucky, Kansas, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia*** The Senior Compliance Auditor reviews complex audits, performs quality assurance reviews, acts as a peer mentor, and assists management with onboarding process of new auditors. The Senior Compliance Auditor supports the audit supervisor with the development and maintenance of the quarterly audit work plan and audit workflow processes. The Senior Compliance Auditor recommends changes to improve business operations by using professional judgement and knowledge of best practices. This position contributes to special projects, as applicable. The Senior Compliance Auditor performs documentation/chart audits on inpatient and outpatient records, and to provide analysis of the records (provider and facility)...

\*\*\*To be considered for the role, you must permanently reside in one of the following states: Alabama, Arkansas, Florida, Georgia, Kentucky, Kansas, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia\*\*\* The Senior Compliance Auditor reviews complex audits, performs quality assurance reviews, acts as a peer mentor, and assists management with onboarding process of new auditors. The Senior Compliance Auditor supports the audit supervisor with the development and maintenance of the quarterly audit work plan and audit workflow processes. The Senior Compliance Auditor recommends changes to improve business operations by using professional judgement and knowledge of best practices. This position contributes to special projects, as applicable. The Senior Compliance Auditor performs documentation/chart audits on inpatient and outpatient records, and to provide analysis of the records (provider and...

To be considered for the role, you must permanently reside in one of the following states: Alabama, Arkansas, Florida, Georgia, Kentucky, Kansas, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia. Overview The Senior Compliance Auditor reviews complex audits, performs quality assurance reviews, acts as a peer mentor, and assists management with onboarding process of new auditors. Responsibilities Reviews complex audits, performs quality assurance reviews, and mentors compliance audit team. Supports supervisor with development and maintenance of quarterly audit work plan and audit workflow processes. Recommends changes to improve business operations using professional judgement and best practices. Performs documentation/chart audits on inpatient and outpatient records and provides analysis of provider and facility records. Audits VCUHS coding and billing (DRG, CPT, HCPCS, ICD-10) based on medical record...

Description The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider-coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Summary Conducts audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD-10-CM, and modifier assignment. Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Fl AHCA / Medicaid, and CMS regulatory requirements. Monitors professional fee vendor‑coding services to...

Job Description - Sr Compliance Auditor (301657) Job Description Sr Compliance Auditor - 301657 Description Job Summary The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider‑coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Specific Duties Conduct audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise...

Job Summary The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider-coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Specific Duties Conducts audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Fl AHCA / Medicaid, and CMS regulatory requirements. Monitors professional fee vendor-coding...

Sr. Environmental Compliance Auditor Mountaire Farms is seeking a senior auditor to manage environmental compliance tasks, programs and plans. Inspect facilities according to requirements, track audit dates, follow up and implement corrective actions. Responsible for maintaining the Intellex Program and producing monthly updates. Responsibilities Monitoring environmental compliance, i.e., permits, licenses, applications and records to ensure compliance with licensing requirements. Identifying compliance issues and developing corrective action plans; acting as a technical resource to address and resolve inquiries and problems regarding production, quality and work problems as appropriate. Compliance inspections—determining the nature of code violations and actions to be taken, developing corrective course of action. Updating Intellex Program. Providing technical support to internal customers related to environmental projects, processes audits and compliance. Offering compliance...

Job Summary The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider‑coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring/auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Key Responsibilities Conduct audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. Serve as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Florida AHCA / Medicaid, and CMS regulatory requirements. Monitor professional fee vendor‑coding...

Sr Billing Compliance Auditor The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider-coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Specific Duties: Conducts audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Fl AHCA / Medicaid, and CMS regulatory requirements. Monitors...

Covenant Health in Knoxville, TN seeks a Compliance Auditor Sr. who will lead complex internal auditing efforts, ensuring compliance with billing and coding regulations. You will evaluate risk areas and document audit findings while mentoring department staff. A successful candidate will have a deep understanding of healthcare billing, at least five years of experience in the healthcare sector, and relevant certifications. The position demands skills in problem-solving and public relations in a fast-paced environment. #J-18808-Ljbffr

Job Description Job Description Manage environmental compliance related tasks, programs and plans Inspect facilities, based on requirements, track date of audit, follow up and corrective action. Responsible for maintaining Intellex Program and producing monthly updates. Duties/Activities Required by Job: Monitoring environmental compliance, i.e, permits, licenses, applications and records to ensure compliance with licensing requirements. Identifying compliance issues  and developing corrective action plans, act as a technical resource to address and resolve inquiries and problems regarding production, quality and work problems as appropriate. Compliance inspections- determine the nature of code violationsand actions to be taken, develop corrective course of action. Update Intellex Program. Provides technical support to internal customers related to environmental projects, processes audits and compliance.  Provide compliance training to internal customers, offer...

Senior Auditor – (Internal Audit & Compliance) Chicago, IL (Hybrid – 4 days onsite) We’re partnering with a leading global healthcare organization to identify a Global Compliance Auditor to join its Internal Audit & Compliance team. Key Responsibilities Assess adherence to internal policies, industry regulations, and compliance frameworks Review commercial activities such as third‑party arrangements, promotional practices, expenses, funding, and reporting transparency Analyze data, identify risks, and document audit findings and recommendations Present results to senior stakeholders across finance, compliance, and business leadership Support continuous improvement of internal controls and compliance processes Collaborate with global teams across multiple business units and regions What We’re Looking For 3+ years of experience in Big 4 or second tier with large clients Strong background in compliance audit Industry exposure to manufacturing CPA preferred but...

Description The Senior Proposal Compliance Auditor is responsible for enforcing proposal process discipline and ensuring 100% compliance prior to submission. This role serves as the final quality and compliance checkpoint for competitive bids, protecting revenue and mitigating risk. The ideal candidate is detail-oriented, experienced in government and/or complex commercial proposals, confident enough to hold firm on compliance requirements, and respected as a mentor and coach within the proposal organization. This position requires independent judgment, strong executive presence, and the ability to enforce standards without eroding collaboration. Key Responsibilities Validate RFP/solicitation compliance matrices against final proposal volumes Ensure adherence to page limits, formatting, Section L & M requirements, and submission instructions Identify compliance gaps, deficiencies, and risk areas prior to submission Certify proposal readiness for submission or elevate...

Description: The Senior Proposal Compliance Auditor is responsible for enforcing proposal process discipline and ensuring 100% compliance prior to submission. This role serves as the final quality and compliance checkpoint for competitive bids, protecting revenue and mitigating risk. The ideal candidate is detail-oriented, experienced in government and/or complex commercial proposals, confident enough to hold firm on compliance requirements, and respected as a mentor and coach within the proposal organization. This position requires independent judgment, strong executive presence, and the ability to enforce standards without eroding collaboration. Key Responsibilities: • Validate RFP/solicitation compliance matrices against final proposal volumes • Ensure adherence to page limits, formatting, Section L & M requirements, and submission instructions • Identify compliance gaps, deficiencies, and risk areas prior to submission • Certify proposal readiness for submission...

Inpatient Coding Auditor Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. What you will do in this role:...

Nicklaushealth seeks a Sr Billing Compliance Auditor to monitor NCPS coding and documentation for professional fee services, conducting independent reviews to ensure compliant practices. You will partner with NCPS administrators to communicate findings and support required actions, acting as the subject matter expert in professional fee coding and documentation. The role emphasizes accuracy in CPT/HCPCS/ICD-10-CM and alignment with CMS and Florida Medicaid requirements, audits, trends, and #J-18808-Ljbffr

Inpatient Coding Auditor Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. What you will do in this role:...

Job Description Job Description Overview The Sr Compliance Coding Auditor performs complex coding audits across a range of services, including those delivered in correctional settings and through third-party billing vendors. This role serves as a subject matter expert on coding and documentation guidelines, identifying risks and preparing detailed audit findings. The position works closely with leadership to develop corrective actions and deliver education to providers and coders. This role also supports regulatory audits and provides guidance and mentorship to compliance staff. Responsibilities Plan and conduct complex coding audits using risk-based sampling and established methodologies. Review provider documentation, coding, and modifier usage to ensure compliance with coding standards and payer rules. Analyze findings, prepare detailed audit reports, and present results to providers, coders, and leadership. Support corrective action planning, education efforts,...

Inpatient Coding Auditor Hourly Wage Estimate: $34.59 - $51.89 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for...

Inpatient Coding Auditor Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back! Job Summary And Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. What you will do in this role:...

Nicklaushealth seeks a Sr Billing Compliance Auditor to monitor NCPS coding and documentation for professional fee services, conducting independent reviews to ensure compliant practices. You will partner with NCPS administrators to communicate findings and support required actions, acting as the subject matter expert in professional fee coding and documentation. The role emphasizes accuracy in CPT/HCPCS/ICD-10-CM and alignment with CMS and Florida Medicaid requirements, audits, trends, and #J-18808-Ljbffr

Presque Isle Downs, Inc. in Owensboro, Kentucky seeks a Revenue Auditor to audit all areas of the business using checklists and GAAP-aligned procedures, investigate variances, and report findings to the Accounting Manager/Sr Director of Finance. The role focuses on internal controls and gaming policy compliance. Ideal candidates have an associate degree in accounting or a related field, 2–4 years in accounting or revenue audit, strong Microsoft Office skills, attention to detail, and excellent #J-18808-Ljbffr

You Matter Make a difference every day in the lives of the underserved Join a mission driven organization with a people first culture Excellent career growth opportunities Join us and find a career that supports Caring for overlooked, underserved, and vulnerable patients Diversity, equity, inclusion, and belonging Autonomy in a warm team environment Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: DailyPay, receive your money as you earn it! Tuition Assistance and dependent Scholarships Employee Assistance Program (EAP) including free counseling and health coaching Company paid life insurance Tax free Health Spending Accounts (HSA) Wellness program featuring fitness memberships and product discounts Preferred banking partnership and discounted rates for...