Senior Billing Compliance Auditor: CMS & Coding Expert
$93.8k - $106kARMA International
ARMA International in Brookline, Massachusetts, is seeking a Billing Compliance Reviewer. This role entails planning and executing audits, analyzing medical documentation, and ensuring compliance with regulations. The ideal candidate will have a strong background in healthcare coding and auditing. The position offers a salary range of $93,800.00 - $106,000.00 based on experience and skills. Qualified candidates must have at least 5 years of relevant experience and appropriate certifications. #J-18808-Ljbffr ARMA International
$93.8k - $106k
...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... ...collaborating with clinical teams to improve coding practices. Qualified candidates should have at...Cms- Title: Senior Outpatient Coder Reports to: Director of Revenue... ...be a part of an emerging coding team under the billing and credentialing service... ...Serves as an expert on coding guidelines Assigns... ...documentation guidelines, compliance policies, annual coding updates...CmsSeniorWork at office
$116.7k - $132k
...Overview Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer will be... ...of ICD-10-PCS procedure coding and assessing DRG assignment. The Senior... ...Skills and Abilities: Knowledge of CMS (Medicare and Medicaid) and commercial...CmsSeniorRemote jobFull timeWork at officeFlexible hours$93.8k - $106k
Reporting to the Director of Billing Compliance, the Billing Compliance Reviewer plans and executes... ...based audits, analyzes documentation and coding for medical necessity and regulatory... ...billing code selection in alignment with CMS, OIG, and other applicable professional...Cms- ...impact, Vitra Health is seeking a Compliance Specialist who is passionate... ...Coder (CPC), Certified Coding Specialist (CCS), or willingness... ...reviewing documentation, claims, or billing processes in a regulated... ...regulations including HIPAA, CMS, NCQA, and OIG guidelines strongly...CmsWork at office
$85k - $115k
A leading engineering firm in Boston, MA is seeking a Principal Technician, Civil/Geotechnical Engineer to oversee construction management projects. Candidates must have at least 7 years of experience (or 10 years without a Bachelor's) and possess a valid driver's license...CmsSeniorFor subcontractor$154.2k - $170.8k
Reporting to the VP, Chief Compliance Officer with a dotted... ..., the Director of Billing Compliance is a strategic... ...leader and subject matter expert responsible for... ...presents review findings to senior management and recommends... ...documentation, coding and billing education programs...CmsLocal area$78k - $113k
...The Manager of Risk Adjustment Coding manages the day-to-day... ...knowledge of regulatory and compliance changes impacting Risk Coding... ...Outpatient or Certified Documentation Expert Outpatient (CDEO) Certified... ...health records, computerized billing and charging systems,...CmsFixed term contractFlexible hours- ...Enterprise Services) is seeking an Inpatient Coding Specialist to ensure accurate assignment... ...with an Associate's Degree in Medical Billing and Coding. Key responsibilities... ...with healthcare teams, and maintaining compliance with coding guidelines. Comprehensive benefits...CmsRemote work
$60k - $130k
...About Stout’s Forensics and Compliance Group Stout’s Forensics and Compliance... ...collaborating closely with senior team members. Support and... ...related to healthcare billing, coding, reimbursement, and revenue cycle... ...compliance frameworks, including CMS regulations, HIPAA, and the...CmsWork at officeLocal areaFlexible hours$95k - $120.65k
...holistically with technology built by healthcare experts - driving real, measurable results for... ...records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based... ...reviews to determine accuracy of the DRG billed, based on industry standard coding...CmsSeniorFull timeWork at officeLocal areaRemote workVisa sponsorshipFlexible hours- ...Oversees the coding audit and compliance aspects of risk adjustment processes. In partnership with... ...timely and compliant responses to CMS and external auditors. Implement and monitor risk... ...coding performance and risk areas to senior management. Oversee vendor management...CmsRemote work
- Community Care Cooperative (C3) is searching for a Senior Outpatient Coder in Boston. This role involves conducting coding audits, assigning diagnosis and procedure codes, and ensuring compliance with guidelines. Applicants must have 10+ years of experience in outpatient...Senior
$58.62 - $90.48 per hour
...Job Description: The Senior Compliance Partner provides strategic compliance guidance to Select... ...healthcare sector. Demonstrates expert level knowledge and understanding of... ...and regulations related to health care billing, coding, reimbursement, contracting, and risk...SeniorHourly payFull timeCurrently hiringLocal areaRelocationRelocation package$90k - $105k
...Working Situation Hybrid (1 day per week in office) Role The Senior Billing Coordinator will be responsible for managing the billing... ...managing budgets, and ensuring that all billing procedures are in compliance with company policies and legal regulations....CmsSeniorWork at office1 day per week$46.99k - $122.4k
...Summary The Program Integrity Auditor is responsible for the review... ...ability to determine correct coding and appropriate documentation... ...and recognize any concerning billing patterns or trends. Primary... ...documentation rules. Maintain compliance with company policies and...Hourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- 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...Full time
- ...Work in an organization that prioritizes compliance, process improvement, and operational excellence... ...Ensure accurate CPT, HCPCS, and ICD-10 coding in accordance with CMS and payer guidelines Review provider documentation for billing compliance and completeness Monitor...CmsFull timeTemporary workWork at officeRemote workMonday to FridayFlexible hours
- A financial services firm is seeking a Senior Accountant to join the finance team in Boston. This role involves preparing financial statements, assisting with audits, and maintaining compliance with regulations. Ideal candidates will possess a Bachelor's degree in Accounting...Senior
$80.5k - $103.41k
...& Maintenance performs configuration or coding to develop, enhance and sustain the organization... ...Warehouse Management (Active WM) CMS SYNQ / Auto Store SLAM Numina and... ..., infrastructure, and network teams on compliance-related activities. Support interfaces...CmsSeniorTemporary workWork experience placementLocal areaImmediate startRemote workFlexible hoursShift work- Overview The Senior Contract Compliance Specialist will be responsible for ongoing data management of agreements... ...streams. Escalation point to provide expert direction to team for posting... ...regulations, such as HIPAA, ACA, and CMS guidelines. Familiarity with payer-provider...CmsSeniorContract workWork at office
$75 - $78 per hour
...Specialization Product Management: Senior Software Development... ...operations, analytics, compliance, and external... ...intuitive user experiences for auditors, analysts, clinicians,... ...healthcare regulations (CMS, Medicare/Medicaid guidelines, ICD/CPT coding). · Exposure to machine...CmsSeniorTemporary work- ...Senior Database Developer You're a talented database developer who is passionate about coding. You excel at getting from feature request to implementation plan. You go beyond just... ...cart, faceted search, catalog building, CMS and payment APIs. Familiarity with using...CmsSeniorPermanent employmentFull timeCasual workWork at officeLocal area
$188.6k - $283k
Your Role The Senior Counsel, Rare Tumors will provide comprehensive... ...business goals while ensuring compliance with ethical standards. Key... ...activities comply with FDA, OIG, CMS, and state requirements, as... ...company policies and industry codes (e.g., PhRMA Code). Contracting...CmsSenior- Associate Director of Compliance & Quality Improvement Casa Esperanza,... ...covering clinical, operational, billing, privacy, and administrative... ...regulations, including HIPAA, CMS, Medicaid, Medicare, CARF, and... ...compliance with documentation, coding, and clinical protocols. Practice...CmsFull timeContract workFor contractorsWork at officeMonday to Friday
$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... ...position requires advanced knowledge of CPT and ICD-10 codes along with auditing experience. Candidates must hold a bachelor...Remote jobHourly pay- ...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...
- ...and improving the quality of coding processes, documentation, and... ...errors, and promoting coding compliance. Essential Functions Develop... ...Medicare and Medicaid Services (CMS), and other relevant bodies.... ...healthcare providers, coders, billing staff, and other stakeholders...Cms
- A prominent insurance company in Boston is seeking a Senior Actuarial Analyst to join their Global Actuarial Team. Responsibilities include developing pricing tools and collaborating with data analytics teams. The ideal candidate should have a Bachelor’s degree, be pursuing...Senior
$130k - $150k
...Kitchen is seeking a high-impact Senior Software Engineer to help... .... You aren’t just writing code; you are ensuring technical... ...design robust solutions for our CMS, subscription billing, and MarTech integrations... ...driven environment Core Stack: Expert-level proficiency in Node.js...CmsSeniorRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Billing Compliance Auditor: CMS & Coding Expert. Be the first to apply!
- remote nurse auditor Brookline, MA
- senior performance engineer Brookline, MA
- senior leadership Brookline, MA
- senior vice president of operations Brookline, MA
- senior software engineer remote Brookline, MA
- senior manager diversity & inclusion Brookline, MA
- senior Brookline, MA
- senior resident engineer Brookline, MA
- senior implementation engineer Brookline, MA
- senior care Brookline, MA

