Healthcare Compliance Auditor: Coding & Billing
Memorial Healthcare System
Memorial Healthcare System is seeking an experienced Coding Auditor in Florida to ensure compliance with medical coding and billing standards. This role involves auditing physician evaluations and procedures and preparing reports for executive leadership. The ideal candidate has at least 3 years in a similar role, critical thinking skills, and relevant certifications. Join us to make a difference in healthcare compliance! #J-18808-Ljbffr Memorial Healthcare System
- ...management and procedures coding and billing to ensure they meet the official... ..., medical necessity and compliance with regulatory... ...regulatory agencies governing healthcare delivery, third party payers... ...Certified Professional Medical Auditor (CPMA) - American Academy of...SuggestedWork experience placementWork at officeShift work
- ...Health is seeking a Program Integrity Auditor to review medical, behavioral, transportation, and other healthcare provider records to ensure accurate coding and proper documentation. The role... ...audit reports, identifying unusual billing patterns, and assisting with...Suggested
$80k - $90k
...organization. Machinify is a leading healthcare intelligence company with... ..., anti-harassment and other compliance and policy/procedures... ...CPT/HCPCs/ICD-9/ICD-10/MS-DRG coding may be necessary.* Strong knowledge... ...as it relates to medical billing.* Demonstrated ability to consistently...SuggestedRemote workFlexible hours$26.13 - $33.97 per hour
...region's largest not-for-profit healthcare organization, with 12... ...much more Description E\&M Coding Auditor/Educator performs comprehensive... ...determine integrity of coding/billing for physician & clinical... ...overpayments and underpayments, and compliance with other documentation...SuggestedRemote jobWork at office$26.13 - $33.97 per hour
Baptist Health is seeking an E&M Coding Auditor/Educator in New York to perform audits on coding and billing integrity. Candidates must have strong E&M coding experience... ...materials for providers and ensuring compliance with coding regulations. The position offers...SuggestedHourly pay$46.99k - $122.4k
...The Program Integrity Auditor is responsible for the... ...transportation, and other healthcare providers. The Auditor... ...to determine correct coding and appropriate... ...recognize any concerning billing patterns or trends. Primary... ...rules. Maintain compliance with company policies...Hourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- A leading healthcare consulting firm is seeking a 340B Auditor to join their audit team in New York. The role involves conducting external audits, collaborating with analysts, and ensuring compliance with 340B program regulations. Candidates should have at least 3 years...
- ...conducts reviews of Revenue Cycle external audits related to billing and coding. This role serves as a team lead for the Revenue Cycle... ...Specialist contributes to the success of the Revenue Cycle and compliance program by analyzing, reviewing, and responding to external...Full timeTemporary workWork at officeLocal areaWorldwide
$54.92k - $107.1k
Molina Healthcare is seeking a Compliance Auditor to support compliance auditing activities. The role involves evaluating adherence to regulatory requirements, identifying compliance gaps, and recommending improvements to mitigate risks related to fraudulent practices....- ...support clinical and revenue integrity teams by reviewing patient charts for accuracy before billing. The position requires 2-3 years of experience in chart review or coding and knowledge of ICD-10 and CPT coding. Benefits include a competitive salary, performance-based...Full timeWork at office
$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 is a leading...Remote workHome office- Evestia Clinical is seeking a Quality Assurance Auditor II to ensure compliance through various audits, including site audits and internal process audits. This position involves working under limited supervision and requires a strong background in clinical trials, GCP experience...Flexible hours
- ...Cycle Audit Specialist to work in Miami, FL. This role involves conducting reviews of Revenue Cycle external audits related to billing and coding, serving as a team lead, and providing technical assistance to junior staff. Applicants should have a Bachelor’s degree and a...Full time
- ...day‑to‑day pre‑ and post‑bill audit workflows in a healthcare setting. You’ll ensure timely... ..., and drive standardized coding practices across teams.... ...findings, coaching auditors, and partnering with Coding... ...leadership, analytics, and compliance focus are essential. #J-...
- ...computer 2. Notifies store manager of wrong prices and pulls out-of-code merchandise. 3. Count and record cash, checks and food stamps... ...and checking for water. 6. Performs various surveys to verify compliance with operational and financial procedures. 7. Works in safe...Local areaNight shift
- ...Auditing Specialist to support financial accuracy, regulatory compliance, and operational integrity across the organization. This role... ...compliance processes across departments Review policy files, billing records, commissions, and premium data to ensure accuracy and...Work at office
- We are in search for a Compliance Specialist. Compliance works to ensure controls and safeguards are in place to promote adherence to applicable... ...informed of applicable rule and regulation changes in the healthcare and pharmaceutical industries Assists in the day-to-day...Temporary workWork at officeLocal areaImmediate startFlexible hours
- ...Senior Auditor - IT Audit Focus The Senior Auditor IT Audit Focus participates in all critical... ..., and supporting operational and compliance processes. The Senior Auditor will also contribute... ...controls. Adhere to Seacoast Bank's Code of Conduct. Education and/or experience:...
$100k
...control prevention industry since 1945 and is seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the... ...auditor, you will look for evidence of fraud and verify compliance. Your job will be based from home, with required daily travel...Weekly payLocal areaRemote workWork from homeHome office2 days per week3 days per week- ...policies for insurance companies. You will schedule appointments, perform field audits, and examine financial records to ensure compliance and accuracy. Ideal candidates have strong verbal communication, accounting knowledge, and the ability to work independently with...
$68k - $73k
...experience throughout all levels of the healthcare journey. Our team consists of expert individuals... ...The Medicare Risk Adjustment (MRA) Auditor is responsible for reviewing medical records... ...processes, practice management code data and preparing and delivering leading...Monday to Friday- Circle K Stores Inc. in New York is looking for an Inventory Auditor to verify merchandise and cash across company stores. The role... ...physical counts, notifying managers of inaccuracies, and ensuring compliance with operational procedures. Candidates should possess a high...Night shift
- ...Town of Florida, NY. Responsibilities include verifying merchandise and cash, notifying management of discrepancies, and ensuring compliance with operational procedures. A high school diploma or GED is preferred, along with some retail experience. The role might also...Night shift
- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree...Remote job
$75k
ARM Strong Receivables Management, Inc. is seeking a Premium Auditor to conduct audits for insured businesses and ensure compliance with regulations. You will primarily work from home, but travel to client locations is required. Candidates should have a background in auditing...Remote jobWork from homeFlexible hours- Evestia Clinical Group seeks a Quality Assurance Auditor II in Florida, NY, to conduct compliance audits across clinical trials. The role demands GCP experience, strong auditing skills, and a degree in bio-sciences. Join a team dedicated to innovation and excellence, with...
- Molina Healthcare in Florida is seeking a Medicaid Claims Examiner to support adjudication, review claims for coding accuracy, identify fraud and overpayments, and manage a caseload with supporting records. Ideal candidates have at least 2 years of Medicaid claims experience...Work at office
- A healthcare solutions company based in New York seeks a Compliance Specialist to ensure adherence to federal and state laws, assess risks, and maintain data security. Responsibilities include assisting in audits, documenting findings, and managing compliance documents....
- Integrated Responders Group is seeking a Quality Assurance File Auditor I located in the Town of Florida, New York. The role requires... ...various audiences. This position is crucial for maintaining compliance with IRG’s procedures and standards. #J-18808-Ljbffr Integrated...
- Select how often (in days) to receive an alert: Lead Senior IT Auditor (Auditor General) The State Personnel System is an E-Verify... ...technology projects as required by law. Determines extent of compliance with applicable law, established policies, plans, and procedures...Work experience placementLocal areaMonday to Friday
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