28 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....

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...

Claims Processing Supervisor AllCare Health | Claims Department We Are Seeking Qualified Candidates to Join Our Team! AllCare Health offers competitive wages and an excellent benefits package, including affordable healthcare, 401(k) retirement, wellness programs, and flexible scheduling options. Summary of the Position The Claims Processing Supervisor ensures that internal and external departmental performance requirements are consistently met. This role oversees the day-to-day activities of the Claims Processing team, assigns work and coordinates efficient workflows to meet contractual and operational requirements, and serves as a hands-on resource for staff regarding training, questions, and claims processing best practices. Essential Duties Provides one-on-one support and initial training for new hires and facilitates monthly mandatory training sessions for Claims Processing staff. Establishes and maintains a professional, supportive, and provider...

Inpatient Coding Auditor Hourly Wage Estimate: $34.59 - $51.89 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. 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...

Do you want to join an organization that invests in you as a Profee Coding Auditor? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. 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 ad hoc quality reviews and audits as...

Inpatient Coding Auditor 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...

Inpatient Coding Auditor Hourly Wage Estimate: $34.59 - $51.89 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. 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...

Inpatient Coding Auditor 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...

About Us Fueled 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! Notice for California Residents - California Privacy Policy Job Summary 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,...

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

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,...

Resurgent Capital Services in the United States is seeking a senior Auditor III to evaluate design and effectiveness of process controls across third-party servicers and internal operations. You will conduct risk-based audits to ensure regulatory compliance and company policies, reporting to the Sr. Manager, Audit. The ideal candidate has 5+ years of audit experience, strong knowledge of FDCPA, TCPA, GLBA, FCRA, FACTA, and UDAAP, and excellent writing skills. #J-18808-Ljbffr

Inpatient Coding Auditor 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...

Inpatient Coding Auditor Hourly Wage Estimate: $34.59 - $51.89 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. 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...

Inpatient Coding Auditor 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...

Inpatient Coding Auditor Hourly Wage Estimate: $34.59 - $51.89 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. 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...

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...

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

Medical Insurance Billing Specialist – CardiologyCardiac Study Center partners with Pulse Heart Institute to deliver trusted outpatient cardiology care across the Puget Sound region for over 50 years. In 2016, CSC joined with MultiCare Health System to form Pulse Heart Institute—bringing together clinical excellence, innovation, research, and education to improve heart health in our communities.Through this partnership, CSC provides essential operational and revenue cycle support that allows Pulse to focus on delivering exceptional cardiovascular care. Our billing and business office teams play a critical role in ensuring the financial health of the organization while supporting a seamless patient care experience.Why You'll Love Working With UsFully remote role for Washington State residentsMonday–Friday schedule — no weekends or holidaysStable healthcare organization with over 50 years of serviceCollaborative business office environmentOpportunity to develop expertise in specialty...

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...

PCI Pharma Services is seeking a Sr. Compliance Associate I to lead customer audits, support internal and vendor audits, and assist in managing the quality management system. The role emphasizes collaboration with SMEs and maintaining audit programs to drive continuous improvement. The position requires a Life Sciences degree and at least 6 years of QA experience in regulated environments, with GMP manufacturing exposure preferred. A strong grasp of QMS and SOPs is essential. #J-18808-Ljbffr

Sr. Coder REMOTE Job Description 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. Experience: Typically requires a minimum of 2-3 years of experience in medical...

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 staff. Provides timely...