912 operational compliance auditor jobs found

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Operations & Compliance Auditor Full Time Professional Orange Office, Orange, CA, US Operations & Compliance Auditor Healthcare is increasingly unaffordable for many Americans. For those who can afford it, they are in a health insurance system that has become more confusing, restrictive, and lower value with each passing year. Here at WeShare our mission is to bring better healthcare to America at a better price. We offer consumers a member-to-member health sharing program that is much more cost effective than standard health insurance while providing access to over 1.2 million physicians across the country. Come join us on this important journey to create the next generation of healthcare! WeShare is a rapidly growing faith-based nonprofit that strives to do good while delivering great and affordable healthcare. The...

A leading automotive service provider is looking for an Operations Support Compliance Auditor to evaluate compliance and operational tasks. This role requires strong analytical skills, retail management experience, and excellent communication abilities. The position offers a salary range of $68,000 - $85,000 and a comprehensive benefits package including health insurance, dental insurance, and a 401K plan. #J-18808-Ljbffr

Join to apply for the Operations Support Compliance Auditor role at Monro, Inc. Candidate should ideally be located in Indianapolis, IN or St.Louis, MO. Monro’s family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach. Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company’s regional strength and community connections. Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry. Do you have what it takes to shape a better future for yourself...

Marmon Holdings, Inc., through Railserve, is seeking a Rail Trainer/Auditor responsible for developing and delivering training programs for employees involved in daily rail operations. You will conduct operational and safety audits to ensure compliance with company procedures. The ideal candidate will have extensive railroad experience and strong communication skills. This role involves regional travel to support training and auditing activities, with a compensation range of $85,000 to $95,000 annually based on experience. #J-18808-Ljbffr

Description COMPANY OVERVIEW Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com. SUMMARY DESCRIPTION The Senior Risk Adjustment Coding Auditor is a highly experienced coding professional responsible for ensuring compliant, accurate, and high-quality risk adjustment coding across Medicare Advantage programs. This role is critical to...

Job Title GEO Secured Services Job Description Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based rehabilitation. Who We Are: GEO provides complementary, turnkey solutions for numerous government partners worldwide across a spectrum of diversified correctional and community reentry services. From the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes. Why Work for GEO: We believe that work is more than a place you go to every day. It is about being inspired and motivated to achieve extraordinary things. Employee benefits...

Job Description Job Description Overview Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based rehabilitation. Who We Are: GEO provides complementary, turnkey solutions for numerous government partners worldwide across a spectrum of diversified correctional and community reentry services. From the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes. Why Work for GEO: We believe that work is more than a place you go to every day. It is about being inspired and motivated to achieve extraordinary things. Employee benefits play an...

Ranked one of Tennessee’s top places to work, MHC is a rare and special place where outstanding company culture is intentional. Where clients and associates are treated the same, as equals. Mental Health Cooperative, Inc. (MHC) was formed in 1993 to serve individuals with severe and persistent mental illness. Since then, we have expanded our services to children and adolescents with severe emotional disorders across Middle and East Tennessee. Our sole purpose is to support and treat those challenged with serious mental illness and poverty. Although based out of Nashville, we serve several communities across middle and East Tennessee with satellite offices in Antioch, Gallatin, Dickson, Columbia, Cleveland, Murfreesboro, Clarksville, Cookeville, Chattanooga, and Memphis. If you are interested in joining a team that is caring, collaborative, innovative and energizing this might be a great place for you! Job Title: Compliance Auditor Department: Compliance Reports To: Director of...

Job Summary General Atomics Electromagnetic Systems (GA-EMS) designs and manufactures first-of-a-kind electromagnetic and electric power generation systems. GA-EMS' expanding portfolio of specialized products and integrated system solutions support critical fleet, space systems and satellites, missile defense, power and energy, and process and monitoring applications for defense, industrial, and commercial customers worldwide. We currently have an exciting opportunity for a Process and Compliance Auditor to join our Electromagnetic Systems (EMS) Group located in San Diego, CA. Under general supervision, this position supports the Operational Excellence department and is responsible for participating in process audits and corrective actions to ensure non-conformances are addressed and processes are continually improved across various GA-EMS site locations. DUTIES AND RESPONSIBILITIES Assists in internal and external AS9100 audits, customer audits and assessments and other...

Job Description Job Description Overview Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based rehabilitation. Who We Are: GEO provides complementary, turnkey solutions for numerous government partners worldwide across a spectrum of diversified correctional and community reentry services. From the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes. Why Work for GEO: We believe that work is more than a place you go to every day. It is about being inspired and motivated to achieve extraordinary things. Employee benefits play an...

Benefits Information Full-time employees will enjoy a competitive benefits package with options for you and your family including: • Paid Time Off • Paid Holidays • 401(k) Matching • Health Insurance • Vision Insurance • Life Insurance • Health Savings Account • Tuition Reimbursement • Employee Discount • Reduced Tuition Rates • Disability Insurance • Employee Assistance Program • 401(k) • Pet Insurance • Dental Insurance • Paid Training • Flexible Spending Account The compensation and benefits information is accurate as of the date of this posting. The Company reserves the right to modify this information at any time, with or without notice, subject to applicable law. Equal Opportunity Employer Overview Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based rehabilitation. Who We Are: GEO...

Senior Compliance Coding AuditorReporting to the Director of Healthcare Compliance, the Senior Compliance Coding Auditor is responsible for conducting independent coding, billing, documentation, and regulatory compliance audits across ambulatory and specialty care practices. The position supports the organization's compliance program through risk-based auditing, monitoring, provider education, investigation of billing concerns, identification of revenue integrity risks, and development of corrective action plans. The Senior Compliance Coding Auditor serves as a subject matter expert for professional fee coding, documentation requirements, government and commercial payer regulations, and healthcare compliance standards. This role partners closely with physicians, advanced practice providers, practice leadership, revenue cycle, coding, clinical operations, and executive leadership to promote compliant billing and documentation practices.ResponsibilitiesEssential Functions:Auditing...

Ed Napleton Automotive Group is seeking a Compliance Auditor to review and audit deals across its portfolio of dealerships, ensuring adherence to operational standards. The role is based at the Oak Brook Terrace office with a focus on daily compliance processes and high ethical standards. The ideal candidate has 2+ years in automotive billing or dealership accounting, familiarity with Route One and CDK, and strong attention to detail. Travel up to 10% may be required. #J-18808-Ljbffr

We are seeking an experienced ComplianceAuditor to join a healthcare compliance team in Brooklyn, New York. TheCompliance Auditor will apply advanced regulatory knowledge and analyticaljudgment to conduct risk assessments, perform independent compliance audits,and support the development and execution of the annual compliance audit plan. This role is responsible for evaluatingcompliance with governmental, contractual, and regulatory requirements whileidentifying systemic risks and supporting effective, sustainable remediation. Compensation : $40-50 per hour Schedule Monday–Friday 8:30 AM–5:30PM 40 hours perweek Key Responsibilities Assist withenterprise-wide compliance risk assessments and contribute to thedevelopment and execution of the annual compliance audit plan. Design andimplement comprehensive, risk-based audit programs to assess compliancewith governmental, contractual, and regulatory requirements. Performindependent audits and monitoring activities in...

Lead IT Compliance Auditor FirstCash is seeking a highly skilled Lead IT Compliance Auditor to lead the testing, assessment, and review of IT General Controls (ITGCs) and Application Controls across our global retail and financial technology environment. This role is responsible for evaluating the effectiveness of controls surrounding proprietary business systems, ensuring compliance with SOX and COSO frameworks, and supporting operations across the United States, Latin America, and the United Kingdom. As a key member of the IT Compliance team, you will partner closely with technical and business stakeholders, oversee audit activities, and serve as the primary liaison for external auditors. The ideal candidate has extensive experience in IT audit, risk management, regulatory compliance, and complex enterprise systems. Key Responsibilities Lead ITGC and Application Control testing for critical business systems, including proprietary retail and financial platforms. Evaluate system...

Regulatory Affairs Associate ENT and Allergy Associates, LLP and Hümi is seeking a self-motivated, people-friendly full time Regulatory Affairs Associate for our Tarrytown Corporate office location. Salary: $80,000-$85,000/year The Compliance Auditor and Coder supports the organization's Compliance Program by conducting risk-based medical record, coding, billing, and documentation audits for professional services. This role evaluates the accuracy and completeness of CPT, ICD-10-CM, HCPCS Level II, and modifier assignment; assesses compliance with applicable federal and state requirements, payer guidance, internal policies, and documentation standards; and identifies opportunities to reduce coding risk, prevent fraud, waste, and abuse, and strengthen revenue integrity. The position also serves as a coding and documentation resource to providers, staff, and management and supports education, corrective action, and follow-up monitoring. Audit priorities may be driven by...

We are sharing a specialised consulting opportunity for experienced Medical Auditors with strong expertise in outpatient professional fee coding, coding audits, academic medical center workflows, audit-program management, and coding quality assurance to contribute to an advanced AI training and medical-coding evaluation project. Selected professionals will audit outpatient professional fee coding, review other coders' work, resolve complex coding cases, identify recurring quality issues, and provide structured feedback grounded in professional coding standards. No prior experience in AI is required. Key Responsibilities Coding Audit & Complex Case Review Audit outpatient professional fee coding for accuracy, compliance, and documentation support Review other coders' work and identify incorrect, incomplete, or inconsistent coding Evaluate complex or ambiguous cases and document well-supported determinations Apply coding guidance consistently across varied clinical...

Benefits Information Full-time employees will enjoy a competitive benefits package with options for you and your family including: * Paid Time Off * Paid Holidays * 401(k) + 401(k) Matching * Health Insurance * Vision Insurance * Life Insurance * Health Savings Account * Tuition Reimbursement * Employee Discount * Reduced Tuition Rates * Disability Insurance * Employee Assistance Program * Flexible Spending Account * Pet Insurance * Dental Insurance * Paid Training The compensation and benefits information are accurate as of the date of this posting. The Company reserves the right to modify this information at any time, with or without notice, subject to applicable law. Equal Opportunity Employer Overview Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based rehabilitation. Who We Are: GEO...

Benefits Information Full-time employees will enjoy a competitive benefits package with options for you and your family including: * Paid Time Off * Paid Holidays * 401(k) Matching * Health Insurance * Vision Insurance * Life Insurance * Health Savings Account * Tuition Reimbursement * Employee Discount * Reduced Tuition Rates * Disability Insurance * Employee Assistance Program * 401(k) * Pet Insurance * Dental Insurance * Paid Training * Flexible Spending Account The compensation and benefits information is accurate as of the date of this posting. The Company reserves the right to modify this information at any time, with or without notice, subject to applicable law. Equal Opportunity Employer Overview Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based rehabilitation....

GEO Corrections & Detentions is seeking a Compliance Auditor to serve as the day-to-day quality control auditor for validation of compliance across operational areas. You will support management to ensure accreditation standards are met and coordinate with the Compliance Administrator or Facility Administrator on complex issues. Responsibilities include conducting daily reviews, periodic accreditation audits, and preparing reports. #J-18808-Ljbffr

Benefits Information Full-time employees will enjoy a competitive benefits package with options for you and your family including: * Paid Time Off * Paid Holidays * 401(k) Matching * Health Insurance * Vision Insurance * Life Insurance * Health Savings Account * Tuition Reimbursement * Employee Discount * Reduced Tuition Rates * Disability Insurance * Employee Assistance Program * 401(k) * Pet Insurance * Dental Insurance * Paid Training * Flexible Spending Account The compensation and benefits information is accurate as of the date of this posting. The Company reserves the right to modify this information at any time, with or without notice, subject to applicable law. Equal Opportunity Employer Overview Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global...

Mission Healthcare is seeking a Quality Program Auditor responsible for ensuring compliance with hospice quality standards. You will conduct audits, evaluate processes, and collaborate with various teams to enhance quality outcomes across the organization. This role requires effective communication and strong analytical skills. The position offers a hybrid work setup and comprehensive benefits for eligible employees, making it a pivotal role for improving patient care and operational excellence. #J-18808-Ljbffr

Certified Medical Auditor Position Summary The Certified Medical Auditor is responsible for conducting comprehensive medical record, coding, billing, and compliance audits to ensure accuracy, completeness, regulatory compliance, and adherence to organizational policies and industry standards. This position reviews clinical documentation and coded data to identify discrepancies, overpayments, underpayments, compliance risks, and opportunities for process improvement. The Certified Medical Auditor works collaboratively with coding, clinical, billing, compliance, and leadership teams to educate staff, improve documentation and coding accuracy, and support ongoing audit and compliance initiatives. Essential Duties and Responsibilities Conduct prospective, concurrent, and retrospective medical record and coding audits. Review medical documentation to validate the accuracy and completeness of ICD-10-CM, CPT, HCPCS, and other applicable coding. Evaluate medical...