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 Dana-Farber Cancer Institute
- ...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
$63.16k - $123.16k
...Summary Provides audit support for contractual and regulatory compliance for specified providers in accordance with requirements... ...education and experience. Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid...SuggestedContract workWork experience placementFor subcontractorWork at office$86.3k - $118.7k
A leading healthcare company is seeking a Senior Compliance Professional to ensure compliance with Medicare Part C claims. The role involves developing audit methodologies, analyzing complex issues, and serving as a subject matter expert during audits. Candidates should...SuggestedRemote work- Brockton Visiting Nurse Association is hiring a Program Integrity Auditor to ensure compliance with coding and documentation standards for healthcare providers. The Auditor will perform audits, identify potential fraud, and provide training to provider staff on regulatory...SuggestedFull time
$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$26.66 - $40 per hour
Baylor Scott & White Health is seeking a Physician Compliance Auditor II to conduct audits and ensure compliance in documentation for outpatient... ...experience, offering flexibility and a chance to contribute to healthcare compliance. #J-18808-Ljbffr Baylor Scott & White HealthRemote jobHourly pay$109.25k - $149.5k
...important work that creates change and shapes the future of healthcare. Thinking differently is what we do best. To us, change... ...and set new standards of care. SUMMARY The Lead Auditor, Quality Compliance will form part of the Corporate Audit team and will lead,...Temporary workWork experience placement$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...Permanent employmentFull timeContract workFreelanceLocal area$72.17k - $104.32k
A state government agency is seeking a Bus Inspector to analyze compliance records, conduct safety inspections, and prepare detailed audit reports. Candidates should possess knowledge of transportation laws and vehicle systems. A Bachelor's degree may substitute for some...Full time- A consulting firm is seeking an experienced Auditor to provide professional and administrative support services in the Environmental Management Industry. This role requires 3-5 years of audit experience and strong analytical skills. Duties include conducting audits, analyzing...Full time
- 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 DRG...Remote job
$46.99k - $122.4k
...Summary The Program Integrity Auditor is responsible for the review... ..., transportation, and other healthcare providers. The Auditor must have... ...and recognize any concerning billing patterns or trends. Primary... ...rules. Maintain compliance with company policies and procedures...Hourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$65k - $113.75k
State Street is seeking a Business/Operational Auditor to assess controls ensuring compliance with regulatory requirements. This role, based in Boston, offers a hybrid working model (4 days onsite, 1 remote). Responsibilities include performing audits, analyzing data,...Remote work$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... ...and Abilities Knowledge of Healthcare Revenue Cycle: Understanding...- Massachusetts General Hospital is looking for a Research Compliance Officer to conduct complex investigations, audits, and regulatory reviews. This role will ensure adherence to policies and compliance with various requirements while collaborating with internal departments...2 days per week
$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- ...across commercial and Medicare Advantage lines, ensuring high-quality submissions and compliance with regulations. Ideal candidates will have significant experience in the healthcare insurance industry, with a focus on compliance. The position offers a hybrid work schedule...
- ...is an exciting place to be within the healthcare industry. As a member of Mass General Brigham... ..., external vendors, and regulators/auditors. Success in this role is measured by on... ...within Legal, Regulatory Affairs, and Compliance and reports to the Government Programs...Work at officeFlexible hours
- 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
$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$82.79k - $120.51k
...state government agency in Chelsea, Massachusetts is seeking a Tax Examiner IV to conduct inspections on tobacco products and ensure compliance with applicable tax laws. The role involves examining tax filings, initiating enforcement procedures, and assisting taxpayers...Full time- 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...
$106.1k - $132.6k
Tufts University in Boston seeks a Clinic Compliance Manager for the School of Dental Medicine. This part-time hybrid role focuses on auditing compliance and regulatory practices within the dental clinics. Ideal candidates need a bachelor’s degree and seven years of related...Part time- ...Oversees the coding audit and compliance aspects of risk adjustment processes. In partnership with key stakeholders, the role supports... ...and ensuring timely and compliant responses to CMS and external auditors. Implement and monitor risk mitigation strategies related to...Remote work
- ...Auditor | Professional and Administrative Support Services ProSidian Seeks a Auditor | Professional and Administrative Support Services - DPLH Est.: Hrs. 2080 ST | 0 Hrs. OT on a Exempt Contract Contingent Basis Engagement Team | Sr Technical Writer Labor Category -...Full timeContract workWork at officeFlexible hours
$50 - $60 per hour
...DataAnnotation is committed to creating high-quality AI. We are looking for an Auditor to join our team to help train the next generation of AI while enjoying the flexibility of remote work and the freedom to set your own schedule. This role is designed to fit a variety...Hourly payFull timeContract workPart timeWork experience placementRemote workFlexible hours$80k - $150k
...Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services CGS is seeking a Senior Auditor who will assist... ...quantify, and understand related party transactions. - Analyze healthcare claims and other data. - Create financial damage models for use...Full timeFlexible hours- Job Posting Organizational Location: This position is with the Department of Homeland Security, within U.S. Customs and Border Protection, Office of Trade, Trade Regulatory Audit (TRA), in one of the following locations listed in the Duties section:Work at office
- ...for talent to support projects and engagements. Claims Auditor: The claim auditor will review and provide comments on... ...practices of claims handled by Third Parties. Review regulatory compliance and proper handling of moderate to complex claims....Temporary work
$35 - $45 per hour
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible... ...consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim...Hourly payFull timeInterim roleReliefRemote workFlexible hours
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