Healthcare Compliance & Audit Specialist
NACBA
CVS Health is seeking a Program Integrity Auditor to review provider records for medical, behavioral, transportation and other services. You will determine correct coding and documentation, support audits across Medicaid lines, and recommend follow-up actions including education and recoupment as needed. The role requires 3–5 years of claims review experience, CPT/HCPCS/ICD-10 coding expertise, and an active CPC/CCS/CPMA credential. Strong analytical skills and regulatory knowledge are essential. #J-18808-Ljbffr NACBA
- ...suspected FWA. The Auditor will work with Medicaid-related lines of business, perform audits, and provide education on regulatory requirements, coding, and documentation while maintaining compliance with policies. 40-hour weeks, full-time position. #J-18808-Ljbffr NACBASuggestedFull time
$90k - $100k
CenterLight Health System is seeking a Compliance Auditor in New York, NY. The role involves... ...to all relevant regulations through audits, conducting risk assessments, and developing... ...a minimum of three years' experience in healthcare audits. The position provides a salary...Suggested- A healthcare management firm is seeking an RN Care Management Coordinator - Compliance Specialist to ensure compliance with relevant regulations and standards. This remote position... ...The role involves conducting compliance audits and supporting NCQA-related operations....SuggestedRemote job
- FinStrat Management is seeking a detail-oriented professional to manage US payroll tax, sales tax, GAAP compliance, and internal audit support. You will ensure timely tax filings, maintain employee tax data, and stay updated on US regulatory changes while coordinating...Suggested
- ...multicultural Certified Public Accounting firm is seeking an Auditor in New York City. This role requires 5+ years of experience in US Auditing along with a Bachelor's degree in accounting; CPA certification is preferred. The selected candidate will conduct audits, analyze...Suggested
$30 - $32 per hour
...2.00/hr Immediate need for a talented Compliance Specialist . This is a 06 months contract opportunity... ...and applicable federal and state healthcare regulations Serve as a subject matter... ...Conduct periodic compliance assessments and audits to ensure accuracy, completeness, and...Contract workWork at officeLocal areaImmediate startRemote work$51.8k - $75k
Risk Strategies is seeking a Health Claims Stop Loss Claims Auditor to conduct detailed audits of high-complexity claims files, ensuring compliance with company procedures and regulations. The ideal candidate should have 4-6 years of claims or audit experience, a Bachelor...- Shinda Management Corporation is seeking a Low Income Housing Tax Credit Compliance Specialist to manage LIHTC compliance and HUD requirements for our New York portfolio. You will review TICs, pre-audit LIHTC/HUD files, and assist with annual owner certifications in a fast...
$100k - $125k
...company that specializes in multifamily and healthcare finance. We are looking for a Senior... ...Auditor to report to the Director of Internal Audit. This role is a hybrid work opportunity.... ...for financial, operational, and compliance audits. Flowchart business processes and...Work at office- ...A leading healthcare consultancy is seeking a remote Compliance Specialist for a 6-month contract. The role involves ensuring compliance with healthcare regulations, analyzing regulatory issues, and facilitating compliance-related projects. Candidates should have 4-5...Contract workRemote workFlexible hours
$100k - $125k
...reputation as a leader in multifamily and healthcare finance, with $13 billion in loan... ...will report to the Director of Internal Audit. Our Internal Audit Department enhances... ...procedures for financial, operational and compliance audits Flowchart business processes and...Work at officeFlexible hours- ...dedication toward innovating a better healthcare delivery system. Essen has expanded from... ...today! Job Summary The Healthcare Compliance Specialist supports Essen Healthcare’s commitment... ...payer regulations. This role conducts audits, monitors operational processes, identifies...Work at office
- ...addictions, is seeking a Health Care Compliance Specialist to join the Compliance Department. The... ...following Responsible for conducting audits of medical records to determine whether... ...three years of experience working in the healthcare industry and compliance: mental health...Work at office
- The Senior Internal Auditor will join a large healthcare organization in Hudson County, NJ, reporting to the VP of Internal Audit. The role emphasizes executing the annual audit plan, strengthening internal controls, and driving operational improvements. Candidates should...Flexible hours
$86.9k - $121.88k
Sr. Healthcare Compliance Specialist, TA Location: Somerset, NJ, US, 08873 At Terumo Aortic, our mission is to transform the treatment of aortic disease... ...and coordination of selected Compliance Committees. Audits: Assist in the preparation of documentation for Internal...Contract workTemporary workLocal areaImmediate startWorldwideFlexible hours$161.6k - $202k
...is to fix this by building a new mental healthcare system everyone can access. We started... ...that responsibility demands a security and compliance program that scales with the business.... ...Support HITRUST, SOC 2, PCI-DSS, and HIPAA audit readiness - collecting evidence,...Work from homeFlexible hours- Deercreekseniorliving is seeking a dedicated IT Auditor to enhance its IT audit and compliance efforts. This remote position evaluates technology controls... ...various stakeholders to bolster regulatory compliance in healthcare operations. The ideal candidate has a bachelor's degree in...Remote jobFlexible hours
$35 - $45 per hour
...data collaboration platform trusted for healthcare. Guided by our mission to make the... ...transformative change in healthcare. Inpatient Auditing Specialist You will be instrumental in addressing... ...needs related to coding quality, compliance assessments, external payer reviews,...Hourly payFull timeInterim roleReliefRemote workFlexible hours$35 - $45 per hour
...data collaboration platform trusted for healthcare. Guided by our mission to make the... ...We're Looking For: As a Professional Auditing Specialist, you will be instrumental in addressing... ...educational needs related to coding quality, compliance assessments, external payer reviews,...Hourly payFull timeInterim roleReliefRemote workFlexible hours$35 - $45 per hour
A healthcare data solutions provider is looking for an Inpatient Auditing Specialist to conduct coding audits and provide coder education. This fully remote role requires at least 3 years of experience in coding and auditing, alongside relevant education and certifications...Remote jobHourly payFull timeFlexible hours- A healthcare services provider is seeking a Field HR Onboarding Coordinator to oversee the onboarding of caregivers from application to work-authorized status. This role ensures compliance with all pre-employment requirements and plays a critical role in minimizing risks...Full time
$148.5k - $174.7k
...Relationship Manager(s) to successfully manage ICG Healthcarecredit account relationships. These accounts are across the for-profit Healthcare industry, including physician practices, for-profit hospitals, medical device, pharmaceutical, life sciences, healthcare...Temporary workWork experience placementLocal area- Datavant is seeking a ProFee Auditing Specialist to perform coding audits and provide coder education. This role is fully remote and allows for a flexible schedule while contributing to healthcare data collaboration. Ideal candidates will have over 5 years of coding experience...Remote jobFlexible hours
- ...including construction, architecture and engineering, not-for-profit, healthcare, manufacturing and distribution, financial services, real... ...support efficient billing processes Maintaining appropriate compliance with all Firm policies and procedures Developing referral...Summer workWork at officeLocal areaRemote workFlexible hours
- A healthcare service provider is seeking a Licensed Insurance Agent to assist individuals in navigating Medicare programs in the United... ...Medicare options, assisting with plan enrollments, and ensuring compliance with regulations. Candidates should possess a valid health...
$110k - $160k
...including construction, architecture and engineering, not-for-profit, healthcare, manufacturing and distribution, financial services, real... ...Strong tax accounting skills with proficiency in US GAAP, tax compliance, corporate consolidated returns, consolidated federal tax...Summer workWork at officeLocal areaRemote workFlexible hours- A large regional bank is seeking to add a Credit Portfolio Manager to its Healthcare group. This is an exciting opportunity to join a team with a strong national presence and a well-established credit platform. The role focuses on underwriting, portfolio management, and...
$148.5k - $174.7k
U.S. Bank is seeking a Credit Portfolio Manager in New York, NY. The role involves managing healthcare credit accounts, underwriting and maintaining strong relationships. Applicants should have over 10 years of commercial banking experience and a Master's degree. Benefits...$130k - $150k
...About us LifeMD is a leading digital healthcare company committed to expanding access to virtual care, pharmacy services, and diagnostics... ..., innovative, and compassionate care. About the role The Tax Compliance Manager will be responsible for overseeing all aspects of tax...Temporary workLocal area- ...is seeking a full-time Medical Review Specialist to work remotely within the EST zone. The... ...medical documentation, ensuring compliance with regulatory standards and supporting... ...candidate will have a Bachelor's degree in a healthcare-related field, experience in medical...Remote jobFull time
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