220 senior billing compliance auditor jobs found

NACBA is seeking a Senior Billing Compliance Auditor located in Miami, Florida. This role involves conducting audits of NCPS professional fee encounters, ensuring compliance with federal and state coding and documentation requirements. The ideal candidate will have at least 7-10 years of experience in coding and compliance, along with a Certified Professional Coder designation. Responsibilities include preparing audit trends, collaborating with administrators, and maintaining compliance standards. #J-18808-Ljbffr

NACBA is seeking a Senior Billing Compliance Auditor located in Miami, Florida. This role involves conducting audits of NCPS professional fee encounters, ensuring compliance with federal and state coding and documentation requirements. The ideal candidate will have at least 7-10 years of experience in coding and compliance, along with a Certified Professional Coder designation. Responsibilities include preparing audit trends, collaborating with administrators, and maintaining compliance standards. #J-18808-Ljbffr

NorthShore University HealthSystem is seeking a Senior Auditor for Billing Compliance to conduct audits, analyze coding and billing documentation, and support investigations across the medical group and system facilities. The role requires strong knowledge of ICD-10-CM/PCS, CPT/HCPCS, and Medicare/Medicaid rules, with EPIC experience highly preferred. Hybrid work arrangement (Evanston, IL and remote) with flexible hours and opportunity for professional growth within a leading health system. #J-18808-Ljbffr

340B Health in Miami, Florida is seeking a Sr Billing Compliance Auditor responsible for monitoring coding and documentation functions. This role includes auditing professional fee services to ensure federal compliance and working closely with NCPS administrators. The ideal candidate will have extensive experience in physician billing and coding, with a focus on CMS and Medicaid regulations. Strong communication skills and the ability to analyze data are essential. #J-18808-Ljbffr

Miami Children’s Hospital is searching for a skilled Sr Compliance Auditor to oversee coding audits and compliance monitoring for pediatric services. This role requires expertise in federal regulatory standards, thoughtful communication, and detailed analysis of coding practices to ensure compliance. Ideal candidates will have 7-10 years of relevant experience and appropriate certifications. Focused on pediatric practices, the auditor will collaborate with NCPS to identify trends and rectify issues with a commitment to transparent, accurate coding standards. #J-18808-Ljbffr

340B Health in Miami, Florida is seeking a Sr Billing Compliance Auditor responsible for monitoring coding and documentation functions. This role includes auditing professional fee services to ensure federal compliance and working closely with NCPS administrators. The ideal candidate will have extensive experience in physician billing and coding, with a focus on CMS and Medicaid regulations. Strong communication skills and the ability to analyze data are essential. #J-18808-Ljbffr

ARMA International in Brookline, Massachusetts, is seeking a Billing Compliance Reviewer. This role entails planning and executing audits, analyzing medical documentation, and ensuring compliance with regulations. The ideal candidate will have a strong background in healthcare coding and auditing. The position offers a salary range of $93,800.00 - $106,000.00 based on experience and skills. Qualified candidates must have at least 5 years of relevant experience and appropriate certifications. #J-18808-Ljbffr

Nicklaus Children's Health System is looking for a Senior Billing Compliance Auditor based in Miami. This role involves conducting audits and ensuring compliance with coding and documentation regulations for professional fee services. The ideal candidate will have extensive experience in medical billing and coding, and will serve as a key resource for compliance and quality improvement initiatives. The auditor will collaborate with various teams to uphold standards in pediatric billing practices and continuous quality improvement. #J-18808-Ljbffr

NYU Langone Health in New York is seeking a Senior Compliance Specialist to support compliance in hospital billing. The role involves conducting audits, preparing reports, and developing training programs to ensure adherence to billing standards and regulations. The ideal candidate will have a Bachelor’s degree in a related field, certification in clinical coding, and at least four years of experience in hospital billing and coding. The role requires strong analytical and communication skills. #J-18808-Ljbffr

NYU Langone Hospitals in New York is looking for a Senior Compliance Specialist to develop and implement the hospital billing compliance program. This role ensures adherence to billing regulations and involves conducting audits, risk assessments, and training programs. The ideal candidate holds a Bachelor's degree in a relevant field, has a minimum of 4 years of hospital coding experience, and possesses strong analytical skills. NYU offers a comprehensive benefits package for its employees. #J-18808-Ljbffr

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

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

Montefiore Medical Center is seeking a Compliance Auditor to safeguard revenue and reputation by coordinating external audits (OMIG, OIG, CMS, DOH) and conducting medical record audits for coding and billing. The role develops and delivers education for 500+ physicians and allied staff, communicates audit findings to senior management, and helps implement corrective action plans to mitigate risk. #J-18808-Ljbffr

Montefiore Medical Center is seeking a Compliance Auditor to safeguard revenue and reputation by coordinating external audits (OMIG, OIG, CMS, DOH) and conducting medical record audits for coding and billing. The role develops and delivers education for 500+ physicians and allied staff, communicates audit findings to senior management, and helps implement corrective action plans to mitigate risk. #J-18808-Ljbffr

Job Description Job Description 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 company is led by senior executives with an extensive background in both for-profit and not-for-profit enterprises. If you have a bias for action, enjoy challenges, and love creating impact in a massive...

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...

Senior Audit Role Primary Skills: Auditing, Compliance, Risk Management, Analytical Skills, Communication. Duration: 6 Months (Possible Extension). Grow your skills by working with industry leaders. Night Auditor – LodgeWorks LodgeWorks is actively hiring for a Night Auditor. LodgeWorks is a privately held hotel development and management company. While our name isn’t on the hotels themselves, our extraordinary culture is... Premium Auditor – Davies Risk Services Join Davies Risk Services as a Premium Auditor – No Experience Required! Are you a self-starter who thrives on independence, loves working with numbers, and enjoys meeting new people? Do you have a ... Staff Auditor – Downtown Seattle Client Staff Auditor for a permanent position with our downtown Seattle based client. Staff Auditor will work in preparing documents, schedules and the company liaison to work with the clients external aud... Junior Compliance Officer / Auditor – SGI Global Junior Compliance...

SCOPE/GENERAL PURPOSE OF JOB: This position is responsible for providing medical coding, coding training and auditing services to physician practices, billing companies and hospitals and other related entities with a concentration on coding audits of physician and hospital outpatient claims, and coding education. Also, to include auditing of internal Coding staff as well as continued training and possible corrective action coding reviews.  ESSENTIAL DUTIES AND RESPONSIBILITIES: Provide training to all RCCS coders regarding new tasks, new clients, cross-training, and continuing education. Perform coding audits of coder work during training processes and once completed periodically to ensure maintained quality. Feedback will be provided in various forms including written explanation and training sessions based on coder educational needs. Create clear explanations of errors as well as authoritative guidance for coding recommendations for all reviews. Acts as a...

Healthy Careers Start Here At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle. Job Summary: The Senior Clinical Compliance Auditor serves as the primary clinical reviewer of data analysis findings, referrals, appeals and complaints related to Network Hospitals, Providers, Pharmacies, and other entities or programs suspected of inappropriate billing of claims to Blue Cross & Blue Shield of Mississippi. The incumbent is responsible for selecting, obtaining, coordinating, monitoring, and reviewing medical records and other relevant information for clinical and coding assessment and validation of related billing of services provided to Blue Cross Blue Shield Customers. The Senior Clinical Compliance Auditor collaborates with...

Overview Providence requires a Compliance Auditor – Remote. The Revenue Cycle Compliance Hospital Auditor evaluates compliance with federal and state laws, regulatory rules, and Providence policies and procedures across a variety of audit focus areas, including clinical and nonclinical services related to revenue cycle operations. The auditor works collaboratively with Case Management, Utilization Review, Revenue Integrity, the Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs, and Finance under the supervision of the Rev Cycle Compliance Senior Manager. The role involves navigating and analyzing data across clinical EMR and Epic billing systems, reviewing line-item charges, revenue codes, CPT descriptions, status, orders, supporting documentation, and reimbursement. Audit findings are presented verbally and visually to reduce risk within the Providence system. Overpayments received in error are refunded following the CMS Voluntary Self Disclosure...

Certified Medical Coding Auditor (CPC or CCS-P) Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care Certified Medical Coding Auditor (CPC or CCS-P) 2 weeks ago Be among the first 25 applicants Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care About Us Simply put, our purpose at Accelerated Urgent Care is to get you quality care when you need it. We aim to foster a supportive environment where our team members can develop their careers. To promote this goal, we’ve built a diverse and driven team of employees who are all eager to learn from one another and reach Accelerated Urgent Care’s mission of delivering exceptional healthcare to the patients and communities that we are privileged to serve. We are ... a fast-growing company that doubles in size year after year since 2012! Recognized as Kern County’s Top Urgent Care center 6 years in a row! Dedicated to our employees’ career...

***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)...