184 senior healthcare compliance auditor jobs found

Akron Children's Hospital seeks a Healthcare Compliance Senior Auditor to plan and execute in-depth audits, analyze risks, and guide corrective actions to uphold regulatory standards. You will develop components of the Compliance Program and deliver training across staff and leadership. The role reports to the Compliance Manager and involves cross-functional work to embed compliance into daily operations, with a focus on HIPAA, Medicare/Medicaid, and related statutes. Onsite, full-time position. #J-18808-Ljbffr

Akron Children's Hospital is seeking a Healthcare Compliance Senior Auditor to strengthen the program by planning and executing audits, assessing risks, and guiding corrective actions. You will help develop policies, procedures, training modules, and monitoring systems in alignment with federal and state regulations. Reporting to the Compliance Manager, the role emphasizes cross‑functional collaboration, investigation leadership, and a strong focus on HIPAA, Medicare/Medicaid, and fraud statutes #J-18808-Ljbffr

Virginia Commonwealth University Health is looking for a Senior Compliance Auditor to manage audits and ensure compliance with applicable regulations. This role includes conducting complex audits, mentoring peers, and maintaining audit software. Candidates should have at least five years in a healthcare environment and a Bachelor’s degree. Relevant certifications are preferred. This position emphasizes strong Excel proficiency and data analysis skills. Join us to support compliance initiatives in Richmond, Virginia. #J-18808-Ljbffr

Covenant Health in Knoxville, TN seeks a Compliance Auditor Sr. who will lead complex internal auditing efforts, ensuring compliance with billing and coding regulations. You will evaluate risk areas and document audit findings while mentoring department staff. A successful candidate will have a deep understanding of healthcare billing, at least five years of experience in the healthcare sector, and relevant certifications. The position demands skills in problem-solving and public relations in a fast-paced environment. #J-18808-Ljbffr

A healthcare organization in New York seeks an experienced individual to safeguard revenue and reputation through auditing and compliance activities. Responsibilities include conducting medical record audits, developing formal reports for senior management, and coordinating education sessions for over 500 health professionals. The ideal candidate must have a Bachelor's degree, at least 5 years of relevant experience in billing and coding, and excellent communication skills. #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

Covenant Health is seeking an experienced internal auditing professional for its East Tennessee network. The role focuses on compliance audits related to charging, coding, documentation and billing for Covenant Health entities. The analyst provides consultation to management and staff, participates in investigations as needed, and supports risk mitigation across health information management and patient accounting teams. #J-18808-Ljbffr

Covenant Health in Knoxville, TN is looking for a Compliance Auditor to perform internal audits and ensure compliance with coding and billing regulations. The ideal candidate will have 3-5 years of healthcare experience, expertise in billing compliance, and possess the necessary certifications like RHIT or RN License. Employment offers a full-time role with a day shift schedule and competitive pay. #J-18808-Ljbffr

Huntsville Hospital Health System is seeking a Compliance Auditor Provider Liaison responsible for conducting detailed audits of professional coding and provider documentation. This role involves promoting best practices and ensuring compliance with organizational policies and regulations. The ideal candidate will have at least 5 years of experience in revenue cycle management, strong educational background, and be proficient in coding and auditing. Competitive benefits include medical, dental, vision insurance, and more. #J-18808-Ljbffr

A leading healthcare organization in New York seeks an experienced Compliance Auditor to enhance revenue protection and compliance through government audits and medical record reviews. Responsibilities include conducting audits, developing education sessions for 500+ staff, and ensuring adherence to coding regulations. Applicants should have a Bachelor's Degree and substantial experience in billing and coding, along with strong analytical and communication skills. This is a full-time position with a focus on continuous compliance improvement. #J-18808-Ljbffr

A leading medical center in New York seeks a Compliance Specialist to oversee billing, coding, and compliance audits. The ideal candidate will have a bachelor's degree and at least 5 years of experience in a hospital setting. Key responsibilities include participating in government audits, developing audit reports, and facilitating compliance training. A strong understanding of documentation and coding practices is essential. The role offers competitive pay and a comprehensive benefits package. #J-18808-Ljbffr

A healthcare provider is seeking a Compliance Auditor to safeguard revenue and reputation through various audit activities and compliance education. The role requires participation in government audits and development of educational programs for over 500 healthcare professionals. Candidates must possess at least a Bachelor's degree and 5+ years of experience in billing, coding, and documentation within a hospital setting. This position is crucial for maintaining regulatory compliance and ensures thorough audit reports are presented to management. #J-18808-Ljbffr

The Healthcare Compliance Auditor Senior I plays a key role in supporting UPMC's compliance and regulatory oversight activities through the identification, assessment, and mitigation of healthcare compliance risks. Leveraging expertise in healthcare operations, reimbursement methodologies, and regulatory requirements, this position conducts auditing and monitoring activities and collaborates with clinical, operational, revenue cycle, and compliance stakeholders to promote adherence to regulatory requirements. This is a full-time position that works Monday through Friday during normal business hours. The role follows a hybrid work model, with a combination of remote work and on-site attendance at UPMC's USX office. If this sounds like the role for you, apply today! Responsibilities: Must have knowledge of medical terminology, HIM coding, and reimbursement methodologies. Has working knowledge of internal policies and external regulatory requirements (e.g., Medicare,...

Wellpath in California seeks a Sr Compliance Coding Auditor to perform complex coding audits across correctional and healthcare settings. You will serve as a subject matter expert on coding and documentation, identify risks, and deliver detailed audit findings to leadership. The role emphasizes accuracy, integrity, and collaboration within a mission-driven team. Responsibilities include reviewing documentation, supporting corrective actions, educating providers and coders, and guiding external #J-18808-Ljbffr

McLaren Health Care is looking for a professional responsible for coding education for healthcare providers and conducting quality assurance audits to ensure accurate coding practices. This position requires a minimum of 5 years of coding experience and certification in coding methodologies. The role includes auditing, documentation improvement, and working with a clinical team to enhance patient care quality. This is a full-time position with fixed working hours from 8 am to 4:30 pm. #J-18808-Ljbffr

South Shore Health seeks a Coding & Compliance Auditor to evaluate medical record documentation and coding accuracy. The role designs and delivers training for clinical staff and coders while monitoring regulatory changes to ensure adherence to Federal, State, and local requirements. The incumbent will support multiple departments, maintain training tools, and report program effectiveness. Requires AHIMA/AAPC certifications and ongoing licensure. #J-18808-Ljbffr

Rush University Medical Center in Chicago, IL seeks a senior coding auditor within the Medical Records department. This role monitors coding quality, provides education to physicians and staff, and prepares reports for administration and the Compliance Council. It requires RHIA/RHIT/CCS certification and 5 years of coding experience, with strong communication skills. The position is full-time, on-site in the Medical Records unit. #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...

Delegation Oversight Compliance Auditor III Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13219 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 Delegation Oversight Compliance Auditor III is responsible for planning, coordination, and conducting...

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...