21 sr compliance auditor jobs found

Overview Compliance Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. Position Summary: Performs complex-level professional internal auditing. Work involves leading or conducting compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance....

Environmental Compliance ManagerManage environmental compliance related tasks, programs and plans. Inspect facilities, based on requirements, track date of audit, follow up and corrective action. Responsible for maintaining Intellex Program and producing monthly updates.Duties/Activities Required by JobMonitoring environmental compliance, i.e, permits, licenses, applications and records to ensure compliance with licensing requirements.Identifying compliance issues and developing corrective action plans, act as a technical resource to address and resolve inquiries and problems regarding production, quality and work problems as appropriate.Compliance inspections- determine the nature of code violations and actions to be taken, develop corrective course of action. Update Intellex ProgramProvides technical support to internal customers related to environmental projects, processes audits and compliance. Provide compliance training to internal customers, offer guidance and support to...

Job Description Job Description Manage environmental compliance related tasks, programs and plans Inspect facilities, based on requirements, track date of audit, follow up and corrective action. Responsible for maintaining Intellex Program and producing monthly updates. Duties/Activities Required by Job: Monitoring environmental compliance, i.e, permits, licenses, applications and records to ensure compliance with licensing requirements. Identifying compliance issues  and developing corrective action plans, act as a technical resource to address and resolve inquiries and problems regarding production, quality and work problems as appropriate. Compliance inspections- determine the nature of code violationsand actions to be taken, develop corrective course of action. Update Intellex Program. Provides technical support to internal customers related to environmental projects, processes audits and compliance.  Provide compliance training to internal customers, offer...

Location: Santa Maria, California, United StatesCompany: WellpathPosted: 2026-08-10Wellpath 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

Auditor IIIFueled by a fundamental belief in innovation, Resurgent Capital Services is an industry-leading financial services company in our sector. It all began 25 years ago when a small group of successful entrepreneurs had a vision for a new type of asset receivables company. One with a commitment to superior service and a personal touch with every interaction. We believe that demonstrating integrity in everything we do, maintaining a strong commitment to compliance, and doing things the right way is a sustainable business model. We want you to feel like your work has an impact and makes a difference every day. Join us as we develop strategies for change and transform the trajectory of your career!The Auditor III is a senior-level audit professional responsible for evaluating the design and effectiveness of process-oriented controls across third-party servicers, including law firms and collection agencies, as well as internal business operations. This role conducts risk-based...

Presque Isle Downs, Inc. in Owensboro, Kentucky seeks a Revenue Auditor to audit all areas of the business using checklists and GAAP-aligned procedures, investigate variances, and report findings to the Accounting Manager/Sr Director of Finance. The role focuses on internal controls and gaming policy compliance. Ideal candidates have an associate degree in accounting or a related field, 2–4 years in accounting or revenue audit, strong Microsoft Office skills, attention to detail, and excellent #J-18808-Ljbffr

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Coding Auditor Job Summary And Qualifications The Coding Auditor is responsible for performing quality reviews and audits of the assigned staff. This includes coordination with the department managers to ensure standards are met in accordance with department and organization policy. Additionally, this team member contributes to improving the processes and infrastructure of the department. Proficient in facilitation and interpersonal communication, this team member also consistently demonstrates skills in organization, prioritization, professionalism and coaching others. What you will do in this role: Perform regularly-scheduled quality reviews and audits per departmental policies and procedures Perform...

Sr. Auditor Project Lead The Sr. Auditor Project Lead will report to the Manager with a direct line of communication to the Directors. Responsibilities will include but not be limited to: Oversee the management of multiple projects. Manage client needs and expectations to ensure projects meet scope, requirements and deliverables are on-time and of high quality. Perform production work in addition to project management, meeting department's quality and production standard thresholds. Responsible for maintaining department audit standards, clinical documentation standards, protocols and guidelines. Review auditor work for accuracy and provide feedback written and verbally to auditors. Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, and diagnoses and meet department quality and production standards. Research regulatory guidelines for supporting documentation. Prepare audit summary...

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. What you will do in this role: Leads,...

Elevance Health is seeking a Coding Auditor Sr. for CareBridge Health. The role audits diagnosis data from medical records to ensure ICD-9 coding accuracy and risk adjustment compliance, with responsibilities in RADV and revenue projects. Strong auditing experience and coding certifications are required. The position is hybrid/virtual eligible with in-person training and proximity to an Elevance Health office. Competitive benefits and a path to senior leadership opportunities are highlighted. #J-18808-Ljbffr

We are seeking a detail-oriented Certified Medical Coder (CPC) to review clinical documentation, extract data, and assign appropriate ICD-10, CPT, and HCPCS codes. Seniority level Entry level Employment type Full-time Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Beacon 360 Healthcare Consultants by 2x Sign in to set job alerts for “Certified Medical Coder” roles. Inpatient Medical Coder– DRG Specialist - Remote HIM/MEDICAL RECORDS ANALYST/CODING SPECIALIST-FT Sr Clinical Coding Specialist -Evaluation and Management Coder Inpatient Coding Compliance Auditor (Remote) Clinical Documentation Specialist (Remote -Texas Resident) - Clinical Data Houston, TX $70,000.00-$85,000.00 2 days ago Clinical Documentation Improvement Specialist Senior Consultant - Clinical Documentation Specialist Certified Coding Specialist I/II/III- Ob/Gyn Ambulatory Payment Classification Coordinator Find curated...

You Matter Make a difference every day in the lives of the underserved Join a mission driven organization with a people first culture Excellent career growth opportunities Join us and find a career that supports Caring for overlooked, underserved, and vulnerable patients Diversity, equity, inclusion, and belonging Autonomy in a warm team environment Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: DailyPay, receive your money as you earn it! Tuition Assistance and dependent Scholarships Employee Assistance Program (EAP) including free counseling and health coaching Company paid life insurance Tax free Health Spending Accounts (HSA) Wellness program featuring fitness memberships and product discounts Preferred banking partnership and discounted rates for...

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

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

Sr. CoderREMOTEJob DescriptionSr. Certified Coding Medical Records: Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures.Claims Processing: Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement.Collaboration: Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices.Auditing and Compliance: Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards.Training and Support: Provide training and support to healthcare staff on coding practices and documentation requirements.Required QualificationsCertification: Must hold a certification from recognized organizations such as AAPC.Experience: Typically requires a minimum of 2-3 years of experience in medical coding, preferably in a...

MISSIONMirum Pharmaceuticals is a biopharmaceutical company dedicated to transforming the treatment of rare diseases. We are passionate about advancing scientific discoveries to become important medicines for rare disease patients. We are collaborative, creative, and experienced professionals and we’re looking to augment our team with other individuals who embody our values: care, be real, get it done, and have fun, seriously.POSITION SUMMARYMirum Pharmaceutical is seeking an Associate Director of Medical Safety Science (Safety Scientist). The ideal candidate will have experience in and perform multiple activities related to safety data review, document review, signal detection and management, authoring of aggregate reports and participating in multidisciplinary meetings. Successful candidate will report to Sr. Director, Medical Safety.JOB FUNCTIONS/RESPONSIBILITIESConduct Sponsor oversight from a safety science perspective, and assessment of ICSRs both in post-marketing and...

Elevance Health is seeking a Coding Analyst Sr. to review, audit, and code medical records for reimbursement, training, and compliance. This role ensures accurate ICD-9 and CPT coding and collaborates with physicians to resolve documentation gaps. The position emphasizes education, auditing code accuracy, and cross-team collaboration. A HS diploma and CPC/CCS-P are required; CMS Risk Adjustment knowledge and CRC are preferred. Hybrid/virtual work with in-person sessions as needed. #J-18808-Ljbffr

Sr. Professional Fee Coder - Analyst III (F/T) - (Child of 5165) ***New Hires are eligible for a Sign-On Bonus*** Under the general direction of the Revenue Manager/Associate Director, this position is expected to function as a senior coder with a high degree of accuracy, proficiency, and production in the areas and specialties covered by the Faculty Practice Revenue Management Operations coding team. Applies specialized coding knowledge to manage a large range of coding combinations (approximately 1,500 - 5,00 combinations). Breadth of understanding of application of moderate to complex coding, coding modifiers, and correct coding initiative guidelines to autonomously manage extensive ICD-10 and CPT procedural codes. May include both professional fee and technical coding application. Also guides a centralized coding team as a subject matter expert for their area of coding expertise to improve the accuracy and efficiency of professional fee coding by the team. Primary...

Reviewing inpatient records for accurate coding, the remote Sr. Certified Coder will abstract and assign ICD-10-CM and PCS codes, ensuring compliance with coding guidelines and collaborating with various departments to enhance documentation quality. Key responsibilities Abstract and assign diagnosis and procedure codes from inpatient records, ensuring accurate MS-DRG and APR-DRG assignment Communicate with departments regarding charge corrections and audit medical records for compliance with coding regulations Provide coding feedback and education to departmental leadership to improve documentation completeness and accuracy Required qualifications High School Education/GED or equivalent required; Associate's/Technical Degree preferred AHIMA Certified Coding Specialist (CCS) certification required Working knowledge of hospital Cerner EMR required Three years of inpatient coding experience preferred Experience in a health care setting required

Job Details Sr. Coder Professional Billing Job Description REMOTE Professional Billing Sr. Certified Coding Medical Records : Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures. Claims Processing: Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement. Collaboration: Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices. Auditing and Compliance: Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards. Training and Support: Provide training and support to healthcare staff on coding practices and documentation requirements. Required Qualifications Certification: Must hold a certification from recognized organizations such as AAPC (CPC)...

Medical Biller I Rewarding career. Competitive salary. Outstanding benefits. Medical Biller I is responsible for supporting the billing and accounts receivable functions within Patient Financial Services. This position assists with basic billing tasks, claim processing, and follow-up activities under the guidance of senior staff. The Medical Biller I works with patients, insurance payers, and internal departments to ensure accurate account handling and a positive patient financial experience. This role is designed to build foundational knowledge of hospital billing processes within a Critical Access Hospital (CAH) environment. Standard Expectations Promotes a Positive Working Environment Conducts oneself in line with organization's mission, values and standards of behavior. Accepts change and challenges with a positive attitude. Consistently adheres to organizational policy. Communicates Effectively Builds relationships and works collaboratively with other...