129 lead compliance auditor jobs found

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Lead Compliance Auditor leads comprehensive audits and conducts key activities of the IEHP Compliance Audit Program. Develops audit programs and conducts audits of assigned areas and Plan delegates. Identifies risks in meeting or sustaining compliance with Federal, State, and contractual regulatory requirements. Prepares audit reports, detailing findings, and recommendations. Provides independent evaluations of operations, policies, and processes to validate compliance, evaluate effectiveness, and identify issues. Issues corrective action plans and leads the reviews for acceptance to ensure that all compliance issues are appropriately addressed. Leads and performs validation audits to determine if actions have been taken to mitigate identified risks. Participates in...

About Us: Join our dynamic team at Air Systems Components , a subsidiary of Air Distribution Technologies , where we are committed to excellence in trade compliance and security. As the global leader in building innovations, we deliver solutions that meet the toughest industry standards. This role is based in El Paso, TX . Job Description: Are you a seasoned compliance professional with a passion for trade security and audit excellence? We are seeking a Lead Compliance Auditor (C-TPAT/OEA Specialist) to spearhead our internal audit processes and ensure our compliance with C-TPAT and OEA standards. This role is pivotal in maintaining our high standards of security and operational efficiency. Key Responsibilities: Audit Leadership: Plan, supervise, and execute field audits and evaluations of internal controls. Collaborate with Business Unit Managers to ensure thorough and effective audit engagements. Risk Analysis: Define specific objectives, theories, and...

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Lead Compliance Auditor leads comprehensive audits and conducts key activities of the IEHP Compliance Audit Program. Develops audit programs and conducts audits of assigned areas and Plan delegates. Identifies risks in meeting or sustaining compliance with Federal, State, and contractual regulatory requirements. Prepares audit reports, detailing findings, and recommendations. Provides independent evaluations of operations, policies, and processes to validate compliance, evaluate effectiveness, and identify issues. Issues corrective action plans and leads the reviews for acceptance to ensures that all compliance issues are appropriately addressed. Leads and performs validation audits to determine if actions have been taken to mitigate identified risks. Participates in special...

The Lead Compliance Auditor for Client Services reports to the Director of Compliance. The Third-Party Lead Compliance Auditor will review files for all clients and conduct external reporting. This includes ensuring that all aspects of the compliance framework are executed in adherence to the stipulations of the Affordable Housing Agreements and in compliance with all pertinent laws, regulations, policies, and guidelines relevant to the project's obligations. RESPONSIBILITIES Assist with reviewing the waiting list within 24 hours for all new move-in files to mitigate Fair Housing violations. Meet with the Third-Party Senior Compliance Specialist or Compliance Manager monthly and provide a status report on the file audits. Provide support and answer file questions for all clients. Meet the minimum file review standards per the Compliance Team Policies and Procedures. Review, complete, and ensure all move-in files are reviewed within 3 days. Review, complete, and ensure...

Audit Project Lead (Financial Compliance Auditor, Lead) 2 weeks ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. This position serves as a project lead for the design and implementation of complex audits, including financial, compliance, economy and efficiency, and performance audits. The role involves overseeing various audit projects and assisting in the implementation of the Annual Audit plan by conducting audits and reviews of State and Federal programs and activities administered by the Maryland State Department of Education (MSDE) in accordance with professional government auditing standards. The position also leads and participates in special investigations and projects as directed by the Office of the State Superintendent. Duties Include Lead and complete financial, compliance, and performance audits of MSDE operations, education programs, local education agencies, MSDE grantees, and contractors. Plan audit projects and...

Introduction The Maryland State Department of Education is dedicated to supporting a world-class educational system that prepares all students for college andcareer success in the 21st century. With excellent stewardship from ourdivisions, we oversee State and federal programs that support the needs ofa diverse population – students, teachers, principals, and other educatorsthroughout Maryland. GRADE 18 LOCATION OF POSITION Nancy S. Grasmick Education Building 200 W. Baltimore Street Baltimore, MD 21201 Hybrid work schedule available POSITION DUTIES This position serves as a project lead for the design and implementation of complex comprehensive audits involving financial, compliance, economy and efficiency, and performance audits. The position will oversee various audit projects and will assist in the implementation of the Annual Audit plan by conducting audits and reviews of State and Federal programs and activities administered by the Maryland State Department of Education...

Job Summary: The Medical Coding Auditor protects company assets by completing coding documentation and quality & program audits to ensure support of services billed, complying with all federal and state regulations and internal controls, and recommending improvements in internal control structure. Primary Responsibilities (illustrative): Follows established protocols, selects and reviews a percentage of records to assess coding documentation, billing and/or reimbursement practices for compliance with all regulations for federal and state agencies, third-party payers, and organization policy. Communicates audit progress and findings by preparing reports and providing information to the Compliance Officer, CMO, Medical Coding Lead, Compliance Specialist and Chief Quality Officer as needed. In conjunction with appropriate personnel, investigates, evaluates, and identifies opportunities for improvement, recognizes their relative significance in the overall system, and...

Job Description Job Description Who You Are You're a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don't deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health's commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You're ready to join a team focused on reimagining primary care for a healthier future that benefits all. Does this sound like you? If so, we should talk. Who We Are At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions...

Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Serves as a lead employee who audits coded records for multiple specialties. Analyzes coded records for compliance with federal, state and third party insurer rules and regulations. Establishes a collaborative relationship with stakeholders to ensure quality standards are met. This is a 100% remote position eligible for hire from: Alabama, Alaska, Arizona, Arkansas, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Mississippi Missouri, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, Wisconsin and Wyoming. Responsibilities: 1. Accurately assigns International Classification of Diseases 10-CM (ICD-10)...

Salary : $101,536.34 - $139,533.58 Annually Location : Riverside Job Type: Regular Job Number: 24-74191-02 AL Department: RUHS-Medical Center Opening Date: 07/03/2024 Closing Date: Continuous ABOUT THE POSITION Riverside University Health System (RUHS) seeks a Coding Compliance Auditor (Administrative Services Manager I), to support the health system's Corporate Compliance Department. The Compliance Auditor will be responsible for reviewing inpatient and/or outpatient records for quality and comprehensive coding. The incumbent reviews records regarding coding regulations and compliance and provides feedback and education to coders and/or physicians. The Compliance Auditor is responsible for performing annual, periodic or other focused medical record audits as requested to oversee the quality and accuracy of physician, inpatient and outpatient coding and documentation. This position requires effective communication with all RAC stakeholders and excellent...

Senior Manager/Associate Director Clinical Quality Assurance Auditor Nurix Therapeutics is a clinical stage biopharmaceutical company focused on the discovery, development, and commercialization of targeted protein degradation medicines, the next frontier in innovative drug design aimed at improving treatment options for patients with cancer and inflammatory diseases. Powered by a fully AI-integrated discovery engine capable of tackling any protein class, and coupled with unparalleled ligase expertise, Nurix’s dedicated team has built a formidable advantage in translating the science of targeted protein degradation into clinical advancements. Nurix aims to establish degrader-based treatments at the forefront of patient care, writing medicine’s next chapter with a new script to outmatch disease. Responsibilities and Duties: The Senior Manager/Associate Director of Clinical Quality Assurance Auditor is responsible for partnering with cross functional teams to manage the audit...

Position Description : Serco is excited to continue our support to the Defense Health Agency (DHA) Medical Coding Program Branch. The DHA is a joint, integrated Combat Support Agency that enables the Army, Navy, and Air Force medical services to provide a medically ready force to Combatant Commands in both peacetime and wartime. The essential mission of the DHA Medical Coding Program Branch (DHA-MCPB) is to improve the accuracy and quality of medical coding and documentation across DHA in support of the DHA mission. This is a 100% Remote position. Our Medical Coding Compliance Specialists seek to prevent activity or actions in medical coding and documentation that could lead to fraud, waste, or abuse. It involves performing analysis, auditing, investigation, research, reporting, and other tasks to support development, implementation, operation, and oversight of DHA medical coding compliance. In this role, you will: The work will encompass all 400...

Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for various tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health plans contracted with L.A. Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of issues in a...

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, andtreatment facilitiesin Atlanta, Chicago, and Phoenix. our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today. The Hospital Compliance Auditor conducts audits systemwide to determine organizational integrity within the Hospital Compliance Program and reviews hospital and provider-based site practices and procedures to ensure they adhere to all relevant healthcare regulations and laws. Audits to evaluate systems, charge capture, and hospital billing including detection and correction of documentation, coding, and billing errors and/or...

Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, A Positive Choice, and PsycHealth, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being. As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities. Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential...

Job SummaryThe Supervisor Coding Audit and Education is responsible for overseeing medical coding accuracy, compliance, and education initiatives within the Medical Group. This role supervises Coding Auditor & Educators and conducts coding audits, ensuring adherence to national standards, and educating both coders and healthcare providers or staff on best practices. Applies experience in medical coding, team leadership, compliance regulations, and education methodologies.Core Job ResponsibilitiesSupervise and coordinate the daily work of the Coding Auditor & Educators. Relay work instructions, distribute assignments and monitor work for accuracy, quality and completeness. Serves as a resource and role model and provide guidance, mentorship, and support on complex coding related questions.Develop strategies to improve coding accuracy, efficiency, and workflow.Responsible for team performance in auditing coding activities for accuracy, productivity and quality standards....

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of . Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with high employer contribution Tuition reimbursement, the Freedom 2 Save (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program and...

Company Description Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world’s most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. We're one global team driven by our common purpose to deliver a better world. Join us. Job Description AECOM is...

** who we are . . .** For over two decades, CQ fluency has offered a full suite of culturally relevant language solutions tailored to regulated industries such as healthcare and life sciences in over 200 languages. Our game changing approach to language technology, centralization and change management as well as our expert service and inclusive culture has garnered global recognition and invaluable respect from our partners/customers. Our expertise lies in harnessing the power of Cultural Intelligence (CQ) through our team of subject matter experts, who skillfully blend meaning and feeling to foster genuine human connections. We leverage our CQ with customized, best in class technologies to not only address the intricacies of cultural nuances, but to optimize productivity. With an unwavering commitment to delivering an exceptional customer experience and adhering to ISO 9001, ISO 17100 and ISO 13485 certified processes, we consistently deliver the highest level of quality. CQ...

As a technical expert in quality and compliance, the Senior Quality & Compliance Auditor plays a critical role in ensuring adherence to company policies, study protocols, GxP guidelines, and global regulatory requirements governing clinical research activities. This position requires a deep understanding of regulatory frameworks and risk-based auditing methodologies to drive compliance, enhance quality standards, and mitigate organizational risks. Audit Planning, Execution, and Management Responsibilities Lead and execute comprehensive quality and compliance audits in accordance with regulations and standards governing clinical research (including internal audit, vendor audit and site audit) to assess adherence to regulatory standards and company policies Develop and implement strategic, risk-based audit plans to proactively identify areas of concern and ensure regulatory compliance Provide expert consultation on GxP requirements and quality assurance strategies, guiding both...

Company Description Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world’s most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. We're one global team driven by our common purpose to deliver a better world. Join us. Job Description AECOM is...

Company Description Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world’s most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. We're one global team driven by our common purpose to deliver a better world. Join us. Job Description AECOM is...

Company Description Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world’s most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. We're one global team driven by our common purpose to deliver a better world. Join us. Job Description AECOM is...

Company Description Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world’s most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. We're one global team driven by our common purpose to deliver a better world. Join us. Job Description AECOM is...