Healthcare Billing Compliance Auditor
$93.8k - $106kDana-Farber Cancer Institute
Dana-Farber Cancer Institute in Brookline is seeking a Billing Compliance Reviewer to manage audits and ensure compliance with CMS guidelines. This role focuses on analyzing billing documentation and collaborating with clinical teams to improve coding practices. Qualified candidates should have at least five years of experience in healthcare coding and possess a relevant certification. The position offers a competitive salary range of $93,800 to $106,000. #J-18808-Ljbffr
- ...is seeking a Revenue Protection Specialist to manage external audits and support compliance initiatives. This role requires a clinical background in nursing and strong knowledge of billing practices. The successful candidate will oversee audit responses, implement process...Suggested
$59.3k - $80.9k
...community The Medical Coding Auditor reviews medical claims... ...Conduct peer reviews to ensure compliance with coding guidelines and provide... ..., Outpatient Itemized Bill reviews ~ Ambulatory Payment... ...personal wellness and smart healthcare decisions for you and your family...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$59.3k - $80.9k
...community The Medical Coding Auditor extracts clinical information... ...charts and records for compliance with federal coding regulations... ...procedures, ensuring that medical billing conforms to legal and... ...personal wellness and smart healthcare decisions for you and your family...SuggestedFull timeTemporary workApprenticeshipWork at officeRemote workNight shift$88k - $132k
...platform administration and providing daily system support for Billing, Collections, and Revenue Accounting teams. This role partners... ..., future-proof solutions that support business growth and compliance. Job Description and Requirements WHO WE ARE Relativity...SuggestedRemote workHome office$93.8k - $106k
ARMA International in Brookline, Massachusetts, is seeking a Billing Compliance Reviewer. This role entails planning and executing audits,... ...regulations. The ideal candidate will have a strong background in healthcare coding and auditing. The position offers a salary range of $...Suggested- ...Job Description Summary The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities... ...as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional...Work experience placementLocal area
$93.8k - $106k
Dana-Farber Cancer Institute in Boston, MA is seeking a Billing Compliance Reviewer to manage audits and ensure compliance with billing regulations... ...with various teams. Ideal candidates should have 5 years of healthcare coding experience and required certifications. The position...Full time- ...Healthcare Inventory Auditor Our customer provides inventory services to the healthcare delivery industry. They audit inventories of medical... ...our customers' supply chain and pharmacy operations team. Compliance with our customers' requirements is essential to our...
$90k - $100k
...Evaluate organizational processes and management systems for compliance with applicable ISO requirements Document audit findings clearly... ...and qualification steps toward independent thirdparty auditor status Your Qualifications Bachelor's degree in engineering, science...Permanent employmentFull timeContract workFreelanceLocal area- ...A leading healthcare organization in Boston is seeking a detailed-oriented professional to conduct inpatient DRG reviews. The role requires an RN or LVN and an inpatient coding certification within 4-6 months of hire. Responsibilities include performing comprehensive...Remote work
$53k - $80k
...Overview An Underwriting Auditor plays a critical role as a subject matter expert role within the audit process, driving the integrity, accuracy, and compliance of underwriting activities across the organization. The Underwriting Auditor will proactively identify trends...Work at officeFlexible hours$40 - $45 per hour
...Prevailing Wage and Apprenticeship Compliance Auditor WECTEC Staffing Services provides customer-focused solutions with offerings ranging from high-volume and low-cost to specialized niche solutions, never compromising on delivering best-in-class customer service to...Contract workFor contractorsApprenticeship$110.2k - $122.3k
...ensure clinical accuracy and compliance in audit responses and... ...expertise and knowledge of billing practices to address audit findings... ...the Institute and external auditors, ensuring timely and accurate... ...Abilities Knowledge of Healthcare Revenue Cycle: Understanding...$91.4k - $186.9k
...Responsibilities: Oversee and manage a team of auditors, providing guidance and support to... ...to clients' industry and risks; ensure compliance with regulatory requirements and... ...process, including budgeting, scheduling, billing, and resource allocation....Local areaWorldwideHome office$20 - $50 per hour
DATA QUEST INVESTIGATIONS LTD is seeking auditors to conduct integrity and alcohol compliance audits at various locations near Boston. This flexible position allows auditors to choose their schedule based on availability and is ideal for those with experience in Criminal...Flexible hours$64k - $93k
Join WellSense Health Plan as a Clinical Auditor I, where you'll conduct detailed audits of medical records to ensure accurate reimbursement and compliance with regulations. This remote role is vital in maintaining quality standards in patient care and documentation. We...Remote job$20 - $50 per hour
...licensed private investigations agency based in Massachusetts. Auditor opportunities are available at locations near Boston.... ...Conduct integrity audits to detect employee theft. Perform alcohol compliance audits to ensure proper ID checks and policy adherence. Execute...Full timePart timeFlexible hours$79.56k - $115.72k
Mass General Brigham Incorporated. is seeking a Senior Research Compliance Specialist to oversee and evaluate research activities for... ...regulatory standards. This hybrid role requires a Bachelor's degree in Healthcare Management or a related field and at least 3 years of...$125k - $155k
...enhancements and be able to embrace and manage change. Meet or exceed sales targets for new and follow-on work Meet or exceed targeted billing hours (utilization) Maintain a good working relationship with clients and work effectively with client management and staff at all...Work experience placement- Massschoolbuildings is looking for an Internal Auditor in Boston, Massachusetts, to ensure the effectiveness of internal controls and compliance. The role involves conducting audits across departments, assessing risk management processes, and reporting findings to senior...
- ...A healthcare organization in Braintree, Massachusetts, is seeking a Risk Adjustment Coder/Auditor. The successful candidate will code and analyze outpatient medical records according to ICD-10 and CPT guidelines. Responsibilities include ensuring accurate coding and educating...
$154.2k - $170.8k
...-Farber Cancer Institute is seeking a strategic Director of Billing Compliance based in Boston, MA. This role involves ensuring integrity in... ...team. The ideal candidate will have extensive knowledge in healthcare regulations, a bachelor's degree in a relevant field, and significant...- A healthcare organization in Burlington, Massachusetts is seeking a Lead Health Information Management Audit Specialist to oversee healthcare... ...with various departments, manage audits, and ensure compliance. Candidates should have a clinical background or relevant degree...Hourly pay
- ...Management Audit Specialist to oversee healthcare claims audits. The role involves collaboration... ...with various departments to ensure compliance and regulatory standards are met, providing... ...is a plus, as is a drive to improve billing practices and ensure proper reimbursement...
$105k - $130k
...initiation to implementation.* Interact with cross-functional business teams (Salesforce CPQ, NetSuite, Workato, Workday, Coupa, Zone Billing) to define requirements and understand system-wide changes.* Lead root cause analysis for major incidents and drive continuous...Work at officeWork from homeFlexible hours- A leading AI healthcare firm is seeking a Surgeon to train AI models and improve their quality. The role involves evaluating the correctness of healthcare-related AI outputs. Ideal candidates are fluent in English and in progress or holding a medical degree. This position...Remote jobHourly pay
$21 - $28.26 per hour
...provide efficient and thorough healthcare claims auditing for Beth... ...for reimbursement, regulatory compliance, quality, and... ...various workflows. Reviews billing/claims data in Epic. Researches... ...Trains external and internal auditors on the navigation of a variety...Hourly payWork experience placementWork at officeShift work- Creative Financial Staffing, LLC is seeking a Field Auditor to perform audit fieldwork and compliance testing. This role offers a hybrid schedule with a flexible environment that supports work-life balance. The ideal candidate holds a Bachelor's degree in Accounting and...Flexible hours
$20 - $26.92 per hour
Beth Israel Lahey Health is hiring for a role focused on medical record audits, ensuring compliance with regulations, and assisting in third-party audits of healthcare data. The position requires a clinical background and five years of healthcare experience. The ideal...Hourly pay$200k
...development of a specialized department Responsible for team and or department meeting budgeted goals Responsible for practice billing and timely collection of fees Participate in various administrative aspects of managing business unit Establish team...
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