130 quality compliance auditor ii jobs found

Baxter is seeking a Quality Associate II who thrives in a collaborative environment and can guide audits and compliance initiatives. You will navigate complex regulatory data, train peers, and drive timely CAPA execution while maintaining safety and quality as top priorities. The role involves leading audits, supporting inspections, and mentoring team members within the Quality organization, with a focus on continuous improvement and robust regulatory readiness. #J-18808-Ljbffr

Location: Round Lake, Illinois, United StatesCompany: Baxter InternationalPosted: 2026-09-03Location: Round Lake, Illinois, United StatesCompany: Baxter International Inc.Posted: 2026-08-17Baxter International Inc. seeks a Quality Associate II within the Quality organization to uphold audit quality systems and regulatory compliance. You will manage internal audits, CAPA, inspections readiness, and mentor junior staff while driving continuous improvement.The role emphasizes GMP knowledge, strong analytical skills, and the ability to collaborate across plants and offices worldwide to ensure product safety and regulatory adherence. Applicants must be authorized to work in the U.S.#J-18808-Ljbffr

Baxter International Inc. seeks a Quality Associate II within the Quality organization to uphold audit quality systems and regulatory compliance. You will manage internal audits, CAPA, inspections readiness, and mentor junior staff while driving continuous improvement. The role emphasizes GMP knowledge, strong analytical skills, and the ability to collaborate across plants and offices worldwide to ensure product safety and regulatory adherence. Applicants must be authorized to work in the U.S. #J-18808-Ljbffr

Baxter International Inc. in the United States seeks a Quality Associate II to manage compliance audits, drive regulatory readiness, and mentor teammates in audit methods. You will conduct internal and supplier audits, track CAPA actions, coordinate state licensing, and provide regulatory intelligence. The base salary ranges from $88,000 to $121,000 annually, with discretionary bonuses where applicable. This role emphasizes teamwork, accuracy, and timely reporting across quality operations. #J-18808-Ljbffr

Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25-35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology. The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission. Validate appropriate Evaluation & Management (E/M) level...

PACS Group, Inc. is a holding company delivering post-acute healthcare services across the United States. The Clinical Compliance Auditor II conducts comprehensive audits of clinical documentation and reimbursement processes for Skilled Nursing Facilities and post-acute care settings, ensuring CMS and state compliance and supporting quality improvement initiatives. The role requires an active PT or OT license, a bachelor's degree, and 5+ years in compliance with oversight across multiple sites. #J-18808-Ljbffr

RCS Medical Coding Auditor The RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback. The ideal candidate brings strong hands-on experience with professional fee coding, deep knowledge of E/M, surgical, and modifier use, and the ability to translate audit findings into actionable insights. Key Responsibilities Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback Validate ICD?10?CM, CPT, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines Conduct medical chart audits of professional services across multiple specialties Identify...

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! Role Overview The Compliance Auditor II conducts comprehensive audits and reviews across the Plan, including assigned areas and Plan delegates, to ensure adherence to Federal, State, and contractual regulatory requirements. Identifies and assesses risks impacting overall compliance, drafts detailed audit findings and actionable recommendations, and evaluates operations, policies, and processes throughout the Plan. Conducts evaluations of operations, policies, and processes to validate compliance, evaluate effectiveness, and identify issues. Issues corrective action plans and reviews for acceptance to ensure that all compliance issues are appropriately addressed. Performs validation audits to determine if actions have been taken to mitigate identified risks and conducts routine monitoring...

Job Description Job Description Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25–35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology . The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission....

Join a Team Where Your Expertise Impacts Lives: Medical Coding Specialist Camber Mental Health, a subsidiary of KVC Health Systems, is seeking a dedicated Medical Coding Specialist to serve as our resident subject matter expert. If you are a certified professional looking to apply your skills in a high-impact behavioral health setting, we invite you to join an organization that prioritizes authenticity, compassion, and innovation. At KVC and Camber, we believe the heart of our work is helping people. Our commitment to our staff is reflected in our Indeed Work Wellbeing score of 83, demonstrating our dedication to a supportive and fulfilling professional environment. The Role As the Medical Coding Specialist, you will ensure the integrity of patient records by accurately assigning diagnostic and procedural codes. Your work is vital to maintaining regulatory compliance and ensuring proper insurance reimbursement, directly supporting our ability to provide high-quality care...

About Bridewell One of the most exciting prospects in the cyber security sector today, Bridewell is a leading cyber security services company specializing in protecting and transforming critical business functions for some of the world's most trusted organizations. We are the trusted partner for operators of essential services and provide end-to-end cyber security capabilities that help our clients overcome their security challenges, allowing them to operate safely and securely. Having expanded into North America in 2022, Bridewell is quickly increasing its presence across the United States, showing our commitment to becoming a major player in the US cyber security market. Our US operations are focused on delivering cyber security solutions in the critical infrastructure sector, providing critical support to organisations navigating security challenges. Overview We are looking for a Data Center Compliance Auditor to support the delivery of Bridewell services to one of our most...

Delegation Oversight Compliance Auditor II Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (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 Delegation Oversight Compliance Auditor II ensures delegates are compliant with all Product Lines contractual, state, and federal regulatory,...

Miami, FL Full-Time Health Information Management Jackson Health System Full Time Summary The HIM Coding Compliance Auditor 1 analyzes abstracted/coded data for the purpose of ensuring accuracy and timeliness as it relates to DNFB management, quarterly AHCA data submissions and PFS communication. Responsibilities Reviews quality of coded and abstracted data assuring coding compliance within the Jackson Health System. Performs target and focused MS-DRG, APC, CPT, Case mix and Medical Necessity reviews. Identifies monitors and corrects rejected claims due to HIM coding. Works as a liaison with PFS and other internal departments to serve as a communicator/problem-solver for hindrances that prevent reimbursement. Based on new coding requirements, audit findings, RACs, MACs, etc. prioritizes and supports develops training/education protocols for UHS hospital coders in ICD-9-CM, CPT-4, APCs, Emergency Room Evaluation and Management Coding, Level II coding guidelines, modifier guidelines,...

Coding Specialist Integrative Emergency Services, LLC ("IES") is seeking a Coding Specialist with emphasis on surgical services. The Coding Specialist is responsible for accurate professional fee coding and documentation review for assigned surgical service lines (URSA/NTCC/TSN). This role evaluates medical records to ensure proper CPT, HCPCS Level II, and ICD-10-CM code assignment in accordance with payer guidelines and regulatory standards. The Coding Specialist supports documentation integrity, identifies coding compliance risks (including undercoding, overcoding, and unbundling), and contributes to clean claim submission and optimal reimbursement through coding analysis, audits, and special projects. Candidates can work in either a hybrid or remote setting. If remote, must reside in a state IES operates in: AZ, CO, TX, OK, IN, MO, AL, SC, FL. IES is dedicated to cultivating best practices in emergency care, providing comprehensive acute care services, creating value, and...

Galen Medical Group is seeking an EMR Coding Auditor II to improve documentation quality and ensure HCC coding accuracy. You will review charts, validate chronic conditions, and coordinate with physicians to maintain up-to-date problem lists in the EMR. You will train new staff and support the team under the Population Health Manager. The role requires expertise in ICD-10/CPT, strong communication skills, and a commitment to quality and compliance. #J-18808-Ljbffr

RCS Medical Coding Auditor page is loaded## RCS Medical Coding Auditorremote type: Hybridlocations: Raleigh, NCtime type: Full timeposted on: Posted 7 Days Agojob requisition id: JR10360**Position Summary**The **RCS Medical Coding Auditor** is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.The ideal candidate brings strong hands-on experience with **professional fee coding**, deep knowledge of **E/M, surgical, and modifier use**, and the ability to translate audit findings into actionable insights.**Key Responsibilities*** Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback* Validate ICD‐10‐CM, CPT(R), HCPCS, and modifier assignment against clinical documentation to...

One of the most exciting prospects in the cyber security sector today, Bridewell is a leading cyber security services company specializing in protecting and transforming critical business functions for some of the world's most trusted organizations. We are the trusted partner for operators of essential services and provide end-to-end cyber security capabilities that help our clients overcome their security challenges, allowing them to operate safely and securely. Having expanded into North America in 2022, Bridewell is quickly increasing its presence across the United States, showing our commitment to becoming a major player in the US cyber security market. Our US operations are focused on delivering cyber security solutions in the critical infrastructure sector, providing critical support to organisations navigating security challenges. Overview We are looking for a Data Center Compliance Auditor to support the delivery of Bridewell services to one of our most strategic clients....

Job Description Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25–35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology . The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission. Validate appropriate Evaluation & Management...

SUMMARY/OBJECTIVESThe Certified Medical Coder is responsible for the timely, accurate, and compliant review, abstraction, and coding of professional healthcare services provided by Edgewater Health clinicians. This position ensures that medical documentation supports the assignment of appropriate ICD-10-CM, CPT, and HCPCS Level II codes to facilitate accurate reimbursement while maintaining compliance with federal and state regulations, payer requirements, and organizational policies.The Certified Medical Coder works collaboratively with providers, clinical leadership, billing staff, and the Revenue Cycle Department to optimize documentation quality, improve coding accuracy, reduce claim denials, and maximize reimbursement. This position plays an integral role in supporting Edgewater Health's behavioral health, primary care, substance use treatment, and Federally Qualified Health Center (FQHC) billing operations.ESSENTIAL DUTIES AND RESPONSIBILITIESThe essential functions include,...

Health Information ManagementMiami, FL Full-TimeJackson Health SystemFull TimeSummaryThe HIM Coding Compliance Auditor 1 analyzes abstracted/coded data for the purpose of ensuring accuracy and timeliness as it relates to DNFB management, quarterly AHCA data submissions and PFS communication.ResponsibilitiesReviews quality of coded and abstracted data assuring coding compliance within the Jackson Health System.Performs target and focused MS-DRG, APC, CPT, Case mix and Medical Necessity reviews.Identifies monitors and corrects rejected claims due to HIM coding.Works as a liaison with PFS and other internal departments to serve as a communicator/problem-solver for hindrances that prevent reimbursement.Based on new coding requirements, audit findings, RACs, MACs, etc. prioritizes and supports develops training/education protocols for UHS hospital coders in ICD-9-CM, CPT-4, APCs, Emergency Room Evaluation and Management Coding, Level II coding guidelines, modifier guidelines, proper...

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! Role Overview The Compliance Auditor II conducts comprehensive audits and reviews across the Plan, including assigned areas and Plan delegates, to ensure adherence to Federal, State, and contractual regulatory requirements. Identifies and assesses risks impacting overall compliance, drafts detailed audit findings and actionable recommendations, and evaluates operations, policies, and processes throughout the Plan. Conducts evaluations of operations, policies, and processes to validate compliance, evaluate effectiveness, and identify issues. Issues corrective action plans and reviews for acceptance to ensure that all compliance issues are appropriately addressed. Performs validation audits to determine if actions have been taken to mitigate identified risks and conducts routine monitoring...

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 Compliance Auditor II conducts comprehensive audits and reviews across the Plan, including assigned areas and Plan delegates, to ensure adherence to Federal, State, and contractual regulatory requirements. Identifies and assesses risks impacting overall compliance, drafts detailed audit findings and actionable recommendations, and evaluates operations, policies, and processes throughout the Plan. Conducts evaluations of operations, policies, and processes to validate compliance, evaluate effectiveness, and identify issues. Issues corrective action plans and reviews for acceptance to ensure that all compliance issues are appropriately addressed. Performs validation audits to determine if actions have been taken to mitigate identified risks and conducts routine monitoring across...

Remote Medical Coding Auditor (CPC, CCS-P, or CPMA) Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. Day in the Life of a Medical Coding Auditor Conducting audits of claims and patient records to identify incorrect coding. Audits will be performed for both provider and coder coding accuracy with required documentation in accordance with current coding guidelines. Developing, implementing, and coordinating corrective action proposals and plans. Tracking completion of internal and external Plans of Correction....