104 social compliance auditor jobs found

*Please note that this position is available for freelancers in the US Are you passionate about social issues and aware of the importance of transparency in global supply chains? Are you familiar with international standards regulating manufacturing ethics, worker safety, environmental compliance, and more? Would you like to help us drive real improvement in vulnerable manufacturing locations through effective ethical audit programs? In that case, we want you to join our team as a Social Compliance Auditor! About QIMA QIMA is a leading provider of supply chain compliance solutions, that partners with brands, retailers and importers to secure, manage and optimize their global supply network. QIMA has on the ground presence in 85 countries, combining industry leading experts for onsite inspections, supplier audits and lab testing with a digital platform that brings accuracy, transparency and intelligence for quality and compliance data. The Job...

*Please note that this position is available for freelancers in the US Are you passionate about social issues and aware of the importance of transparency in global supply chains? Are you familiar with international standards regulating manufacturing ethics, worker safety, environmental compliance, and more? Would you like to help us drive real improvement in vulnerable manufacturing locations through effective ethical audit programs? In that case, we want you to join our team as a Social Compliance Auditor! About QIMA QIMA is a leading provider of supply chain compliance solutions, that partners with brands, retailers and importers to secure, manage and optimize their global supply network. QIMA has on the ground presence in 85 countries, combining industry leading experts for onsite inspections, supplier audits and lab testing with a digital platform that brings accuracy, transparency and intelligence for quality and compliance data. The Job...

*Please note that this position is available for freelancers in the US Are you passionate about social issues and aware of the importance of transparency in global supply chains? Are you familiar with international standards regulating manufacturing ethics, worker safety, environmental compliance, and more? Would you like to help us drive real improvement in vulnerable manufacturing locations through effective ethical audit programs? In that case, we want you to join our team as a Social Compliance Auditor! About QIMA QIMA is a leading provider of supply chain compliance solutions, that partners with brands, retailers and importers to secure, manage and optimize their global supply network. QIMA has on the ground presence in 85 countries, combining industry leading experts for onsite inspections, supplier audits and lab testing with a digital platform that brings accuracy, transparency and intelligence for quality and compliance data. The Job...

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva and CenterWell a wholly-owned subsidiaries of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives. Responsibilities The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations and guidelines. provide a second level review of codes assigned to medical diagnoses and clinical...

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva and CenterWell a wholly-owned subsidiaries of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives. Responsibilities The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations and guidelines. provide a second level review of codes assigned to medical diagnoses and clinical...

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva and CenterWell a wholly-owned subsidiaries of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives. Responsibilities The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations and guidelines. provide a second level review of codes assigned to medical diagnoses and clinical...

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva and CenterWell a wholly-owned subsidiaries of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives. Responsibilities The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations and guidelines. provide a second level review of codes assigned to medical diagnoses and clinical...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life’s best work.SMThe Field Based-Compliance Auditor will work with our network of contracted providers to ensure compliance and adherence to all regulatory requirements per the contract. This will include and not limited to the annual Frail Elder Waiver Attestation Audit, as the Field Based Compliance Auditor will oversee the process, collection, and onsite audit requirements of all required contracted Home Community Based Service (HCBS) provider types.Positions in this function are responsible for investigating, recovering and resolving all types of regulatory requirements for Massachusetts UnitedHealthcare’s...

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age. Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Position Overview: Subject matter expert on researching and resolving grievance and appeals for the commercial line of business. Utilizing expert level of adjudicator expertise, clinical interpretation and...

About Us With energy and purpose, Cooley Dickinson Health Care, an affiliate of Mass General Brigham, is advancing health care in western Massachusetts. With a broad network of providers and facilities serving the Pioneer Valley, our services span a spectrum of medical and surgical needs, diagnostic care, rehabilitation, social work, behavioral health, and other critical needs of the community. The Cooley Dickinson culture is built on living the values of our organization. Every employee is valued, no matter what professional function. Come work where you can make a difference every day, with opportunities for growth and development, in a great place to call home! General Overview The Clinical Coding Auditor performs a variety of duties related to compliance and coding for Cooley Dickinson Medical Group (CDMG), ensuring the usage of the most accurate codes for reimbursement purposes, statistical analysis outcomes, and financial and strategic planning. The Auditor is expected to...

Duties Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System. Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. Applies guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into...

Job Description An excellent opportunity exists to work for a government contractor with competitive compensation and work-life balance. Posterity Group is seeking an experienced Ambulatory Procedure Visit Medical Coder for the Nellis AFB Base, NV Location: Nellis AFB, Nevada Role and Responsibilities: Summary : * Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for ambulatory procedure visits. * Trains and educates MTF staff on coding issues and plays a significant role in departmental and clinic-wide coding compliance activities. Performance Outcomes : * Responsible for assignment of accurate E&M, ICD, CPT and HCPCS codes and modifiers from medical record documentation into the Government computer systems. * Identifies and abstracts information from...

Job Description Summary: Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Duties & Responsibilities: * Responsible for the assignment of accurate E&M, ICD, CPT, and HCPCS codes and modifiers from medical record documentation. * Identifies and abstracts information from medical records (paper or electronic) for special studies and audits, internal and external. * Interacts with MTF staff to ensure documentation is clear and supports coding assignments. * Educates MTF staff through individual or group in-services and training sessions. * Maintains a delinquency report of missing records in order to facilitate the...

Salary Grade: NC17             Recruitment Range: $56,906.00 - $84,000.00 *  This is an INTERNAL POSTING open ONLY for current employees of the NC Department of Revenue including temporaries who are currently working for DOR. *      The North Carolina Department of Revenue is currently seeking a Tax Auditor Supervisor for the Motor Fuels Section of the Examination Division. The Motor Fuels Section of the Examination Division administers and enforces motor fuels tax laws, motor carrier laws, as well as some motor vehicle laws. They also conduct audits for IFTA and IRP purposes. The Tax Auditor Supervisor is an auditor supervisor who maintains oversight of a team’s overall audit program and also conducts their own audit program. This position is responsible for conducting independent examinations of financial records of taxpayers that are not in voluntary compliance and have unique or special audit features or anticipated accounting, tax law, or investigative problems of more...

Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Detailed responsibilities: • Reviews medical record documentation to determine all appropriate diagnostic, procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding. • May assign and sequence diagnostic, CPT (Current Procedural Terminology) procedure codes (minimal) and modifiers based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP) guidance in encoder software and/or department coding policies and procedures. Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory...

Job Description Summary This position is responsible for overseeing the applicant and return donor reception and registration processes. • Supervise reception and medical staff. • Assist management with daily center operations to include development of reception and medical staff, assessment and improvement of processes, troubleshooting issues and managing donor flow. Job Description Main Responsibilities In compliance with Standard Operating Procedures (SOPs), supervise daily activities of reception, medical, and customer service operations. Provide clear and consistent instructions and directions, conduct meetings, and clearly communicate performance expectations. May be required to perform tasks in work areas. Advise management of employee relation issues or escalated donor issues. In conjunction with other management and supervisory staff, facilitate donor movement throughout the center minimizing donor wait time and processing. Supervise...

Job Description Salary: $24 - $28 Hourly DOE Monday - Friday 40hr/week ( In-Person Position) 8:00 AM - 4:30 PM Are you highly organized and passionate? Do you enjoy maximizing your experience and would like to be a part of fast-growing company where your opinions and ideas are being heard and you are able to make an impact? We are seeking someone who has the experience, vision, and passion to contribute to our culture and deliver extraordinary results. If this describes you, we'd love to have you join our expanding team at our Orange, CA location! Why Join Us? We're a rapidly growing company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves. At AmeriPharma, you'll have access to: * Great pay and general compensation structures * Full benefits package including medical, dental,...

Job Description Description: The Medical Billing Specialist II codes patient records, ensures accuracy and compliance for healthcare professional Workers' Comp claims. Maintain databases and audit patient charts and billing information for accurate processing of claims. Analyze, identify, and resolve billing issues that cause payment delays. Research and resolve patient, provider, and insurance company inquiries in a timely manner. Essential Duties and Responsibilities • Reviewing charts and identifying procedures: abstracting and coding patients' charts, utilizing ICDlO, CPT and HCPCS codes classifications with accordance to California Official Medical Fee Schedule. • Maintains communication with supervisor regarding significant issues or patterns observed regarding denials from insurance companies. • Communicate with Physicians to ensure documentation is substantiating services perform and it is accompanying with proper dictation. • Comply with all California Official Medical...

Job Description Medical Coding Compliance Specialist (Medical Auditor) POSITION IS ONSITE AT NAS JACKSONVILLE, JACKSONVILLE, FL SUMMARY: Member of the MHS agency Coding Program Office support team. The position will reduce inpatient facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload surges, manning shortages, or computer system issues. This position will conduct focused audits for coding compliance or training purposes; develop standardized coding training; deliver coding education/training to individuals or groups; and identifying/educating on clinical documentation improvement opportunities. Mandatory Knowledge and Skills 1) Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICDCM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology,...

Job Description LifeDoc is a multi-disciplinary, non-profit clinic that is very active in its mission to affect positive change in Memphis and the Mid-south community. We provide every patient the tools to manage their health risks and to sustain a healthy lifestyle. To learn more about LifeDoc, visit our website: The Medical Chart Auditor and Trainer will use their expertise and knowledge to help the company grow by providing training on coding and documentation compliance. This role will promote quality coding and auditing and train providers on accurate documentation and coding. Essential Functions: * Provide expertise in achieving and maintaining the highest standards of accuracy in ICD-10-CM, HCPCS, CPT, Evaluation and Management coding techniques, and medical record documentation. * Assess proficiency of provider staff to ensure accurate and complete coding to maximize reimbursement and reports findings to the leadership team. * Provide educational assistance as needed to...