115 corporate compliance auditor jobs found

Job Description Job Description Hospice RN/LPN Corporate Compliance Auditor Join our outstanding Compliance Hospice team at The Carpenter Health Network ! We are looking for an experienced Hospice RN/LPN Corporate Compliance Auditor with a background in auditing medical records. In this role, you will be responsible for performing compliance audits for our hospice agencies, ensuring adherence to state and federal regulations, company policies and procedures, and accreditation standards (JCAHO/ACHC). You will also coordinate ongoing compliance monitoring to support the highest standards of care and operational excellence. If you have a passion for ensuring quality and compliance in healthcare, we would love to have you as part of our team! QUALIFICATIONS Current Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in the State of Louisiana Minimum three (3) years hospice experience in field of auditing and compliance Must have experience auditing...

Hospice RN/LPN Corporate Compliance Auditor Join our outstanding Compliance Hospice team at The Carpenter Health Network ! We are looking for an experienced Hospice RN/LPN Corporate Compliance Auditor with a background in auditing medical records. In this role, you will be responsible for performing compliance audits for our hospice agencies, ensuring adherence to state and federal regulations, company policies and procedures, and accreditation standards (JCAHO/ACHC). You will also coordinate ongoing compliance monitoring to support the highest standards of care and operational excellence. If you have a passion for ensuring quality and compliance in healthcare, we would love to have you as part of our team! QUALIFICATIONS Current Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in the State of Louisiana Minimum three (3) years hospice experience in field of auditing and compliance Must have experience auditing medical records. Must have a good...

Job Description Job Description LMHS Compliance Auditor 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 of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including 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 a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work...

LMHS Compliance Auditor 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 of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including 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 a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work extends beyond the Hospital doors...

Job DescriptionJob Description LMHS Compliance Auditor 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 of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including 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 a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work...

Description Hourly Pay Range: $23-$28 Shift: Temporary Monday-Friday 8:30am-4:00pm SUMMARY OF DUTIES The position is responsible for assisting as necessary with implementing the agency’s compliance program; conducting internal audits and the internal audit process, and representing the department as requested. ESSENTIAL FUNCTIONS/RESPONSIBILITIES • Conduct audits of programs and prepare audit reports as necessary. • Ensure that all agency programs are audited in accordance with the department’s policies and procedures and that audit reports are finished timely and in accordance with the department’s quality guidelines. • Develop audit recommendations and ensure that recommendations are implemented. • Monitor audit responses to make sure programs are responding timely and appropriately to compliance audit reports. • Assist with responding to government audits, surveys, and inquiries as requested. • Ensure that confidential and potentially sensitive information is...

Job Description Job 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 of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including 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 a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the...

Inspire health. Serve with compassion. Be the difference. Job Summary All team members of the Compliance Department are expected to be knowledgeable and comply with Prisma Health's Code of Excellence to Inspire Health, Serve with Compassion and Be the Difference. In addition, this position requires analytical skills and close attention to detail. This position is responsible for assisting Coding Compliance Manager/Supervisor and Director, Compliance Services in the execution of the annual Coding Compliance Plan. Assists in conducting project planning and developing appropriate audit procedures, and conducts audit procedures and reports findings. Coordinates efforts between the Office of Compliance Services and Physician Practices of the University Medical Group Administration to improve medical record documentation and overall compliance rates. Remote work may be considered for this position. Accountabilities Under the direction of the Coding Compliance...

Inspire health. Serve with compassion. Be the difference. Job Summary All team members of the Compliance Department are expected to be knowledgeable and comply with Prisma Health's Code of Excellence to Inspire Health, Serve with Compassion and Be the Difference. In addition, this position requires analytical skills and close attention to detail. This position is responsible for assisting the Coding Compliance Manager/Supervisor and Director, Compliance Services in the execution of the annual Coding Compliance Plan. Assists in conducting project planning and developing appropriate audit procedures, and conducts audit procedures and reports findings. Coordinates efforts between the Office of Compliance Services and Physician Practices of the University Medical Group Administration to improve medical record documentation and overall compliance rates. Remote work may be considered for this position. Accountabilities Under the direction of the Coding Compliance...

Introduction Do you want to join an organization that invests in you as a Inpatient Coding Auditor? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Benefits At HCA Healthcare, we want to ensure your needs are met. We offer eligible colleagues an attractive benefit package that includes medical, wellbeing, dental and vision benefits along with some unique benefits including: Medical, Dental, Vision, Life Insurance and Flexible Spending Paid Time Off (PTO) and Personal Leave 401K (100% annual match - 3% to 9% of pay based on years of service) Academic Assistance and Reimbursements for Tuition and Student Loans Employee Discounts including Tickets, Retail, Mental Health Apps, Education Apps, Identity Theft Protection etc. Home, Auto, and Pet Insurance Employee Stock Purchase Program (ESPP) Short Term & Long Term Disability coverage Adoption Assistance...

Sentara Health is seeking to hire a qualified individual to join our team as a Compliance Coding Auditor! Position Status : Full-time, Day Shift Position Location: This is a remote position for residents of Virginia or North Carolina . Position Summary: Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the...

Compliance Coding Auditor page is loaded Compliance Coding Auditor Apply locations Sentara Patient Accounting time type Full time posted on Posted 2 Days Ago job requisition id JR-75300 City/State Norfolk, VA Overview Work Shift First (Days) (United States of America) Sentara Health is seeking to hire a qualified individual to join our team as a Compliance Coding Auditor! Position Status : Full-time, Day Shift Position Location: This is a remote position for residents of Virginia or North Carolina . Position Summary: Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal...

City/State Norfolk, VA Work Shift First (Days) Overview: Overview Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year. All...

Salary : $50,148.80 - $67,516.80 Annually Location : Orange County Job Type: Full-Time Regular Job Number: 0635CL-0625-003 (O) Department: Auditor/Controller Opening Date: 06/03/2025 Closing Date: 6/17/2025 11:59 PM Pacific CAREER DESCRIPTION Sr. Medical Billing Specialist SALARY INFORMATION In addition to performance-based merit increases, this position is scheduled to receive a salary range increase on the following date: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment will establish an open eligible list. The eligible list established through this recruitment will be used to fill current/future vacancies in Auditor-Controller and/or any other agencies within the County of Orange. This recruitment may also be used to fill positions in similar and/or lower...

Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Coding Quality Auditor and Specialist is required to be the...

Job Description Job Description Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Coding Quality Auditor and...

Salary : $50,148.80 - $67,516.80 Annually Location : Orange County Job Type: Full-Time Regular Job Number: 0635CL-0625-003 (O) Department: Auditor/Controller Opening Date: 06/03/2025 Closing Date: 6/17/2025 11:59 PM Pacific CAREER DESCRIPTION Sr. Medical Billing Specialist SALARY INFORMATION In addition to performance-based merit increases, this position is scheduled to receive a salary range increase on the following date: Effective June 27, 2025 - 4.00% increase Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment will establish an open eligible list. The eligible list established through this recruitment will be used to fill current/future vacancies in Auditor-Controller and/or any other agencies within the County of Orange. This recruitment may also be used to fill positions in similar...

Coding Auditor Educator at Highmark Health in Boise, Idaho, United States Job Description Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing,...

ENT and Allergy Associates, LLP New York & New Jersey's premier ENT and Allergy medical practice, is seeking a self-motivated, people-friendly full time Regulatory Affairs Associate at our Corporate office location. SUMMARY: The Regulatory Affairs Associate (Compliance Medical Auditor) supports the functions of the Compliance Program for ENT and Allergy Associates, LLP, (ENTA) to be compliant with Federal and State guidelines in the prevention of fraud, waste, and abuse. The Compliance Medical Auditor will participate and provide duties such as, but not limited to conducting auditing and monitoring; providing training and education; assessing compliance with policies, procedures, and regulations; and identifying and recommending strategies for process improvements. The Compliance Medical Auditor performs auditing and monitoring of clinical documentation, analyzing medical records, and assessing the accuracy of ICD-10-CM diagnosis code and CPT assignments; and...

We offer $24/hour+ $500 monthly bonus opportunity! Are you an Automotive Dealership Biller looking for a great opportunity in a corporate setting? The Ed Napleton Automotive Group is looking for our next Compliance Auditor- as we are continuing to grow our team. This is an exciting opportunity in a growing, fast-paced industry. Located at Napleton Automotive Group's Oak Brook Terrace office, the Compliance Auditor is responsible for reviewing and auditing deals for Napleton's portfolio of dealership locations, to ensure compliance with Napleton's variable operations processes and standards. The Ed Napleton Automotive Group is affiliated with over 25 brands of new vehicles and 50+ dealerships throughout seven states. Our strength comes from the more than 3,500 employees nationwide. We are currently the tenth largest automotive group in the country, providing incredible growth opportunity. Take advantage of this rare opportunity to join one of the country's largest and most...

Compliance Auditor - Regulatory Compliance - Sharp Copley - Day Shift - Full Time Compliance Auditor - Regulatory Compliance - Sharp Copley - Day Shift - Full Time Apply locations San Diego, CA time type Full time posted on Posted Yesterday job requisition id JR158654 Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: 06:00-9:00 am to 14:30-17:30 Weekend Requirements: No Weekends On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $33.090 - $42.700 - $52.310 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business...

Position Summary Orlando Health - Corporate Department : Patient Accounting- Physicians Status: Full Time Shift: Remote with occasional on-site meetings Location: Orlando, FL Title: Physician Coding Auditor Summary: The Physician Coding Auditor performs coding related audits to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Auditor is responsible for analyzing Physician and Coder charges for Surgical, procedural and E/M based coding. Forbes has named Orlando Health as one of America's Best-In-State Employers. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions. "Orlando...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...