Coding & Compliance Auditor for Fraud & Documentation
University Health
University Health in Texas is seeking an experienced Coding Specialist to join the SIU team to support investigations, detailed coding audits, and data-driven reporting. You will work under the SIU Manager and apply advanced coding skills to improve accuracy and compliance. The role includes research on eligibility, claims payment, benefits, prior authorizations, and contract review, plus education programs for staff and physicians on findings from audits and investigations. #J-18808-Ljbffr University Health
$45.5 per hour
...16th to Feb 8th might extend Fraud Waste Abuse exp Commercial Medicare... ...specific billing pattern, code combination, or provider... ...select flagged leads through to a documented, substantiated finding... ...investigator audiences (product, compliance, leadership) Skills: Qualifications...Fraud3 days per week- ...Performs at the advanced skill level of a Coding Specialist. Is adept at data... ...administrative investigations related to fraud and abuse. Will conduct research related... ...to assess the quality of coding and documentation to ensure compliance with federal and state laws and...FraudContract workFor contractorsWork at office
$50k - $55k
...receive an alert: Medical Claims Auditor (Remote - Texas) Date: Oct 1... ...claims to ensure accuracy, compliance, and adherence to company... ...claims, validating coding accuracy, and identifying errors... ...medical claims, supporting documentation, and medical records to ensure...SuggestedRemote jobFull timeMonday to FridayFlexible hours- ...Job Summary and ResponsibilitiesAs our Coding Auditor and Educator Professional Fee, you... ...follow-up education to ensure accuracy and compliance. You will also monitor evolving... ...Conduct systematic chart audits to identify documentation gaps, track trends, and ensure the...SuggestedRemote jobTemporary workWork experience placement
- ...Healthcare is seeking a remote Medical Coding Auditor to ensure the accuracy and completeness of professional coding and documentation. You will review patient records, detect... ...discrepancies, and collaborate with clinicians and compliance staff to support compliant coding...SuggestedRemote job
- ...includes scheduling, registration, coding, billing, and other essential... ...Implement and maintain Compliance programs in accordance with the... ...medical centers, HIPAA, and Fraud and Abuse with periodic... ...internal audits of provider documentation on a timely basis. Collaborate...FraudWork at officeRemote workRelocation package
$4,523.16 - $5,500 per month
...Functional Title: Associate Auditor Job Title: Auditor II... ...Other Locations: MOS Codes: 3402,3404,3408,3451,8... ...established to combat fraud, waste, and abuse in... .... Identifying and documenting relevant criteria; business... ..., and provider compliance with laws, rules, regulations...FraudFull timeTemporary workPart timeFor contractorsWork at officeRemote workShift work- ...Department: Financial CGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations involving potentially complex... ...potential witnesses and relevant financial documents. Prepare concise and accurate reports of...FraudFull timeWork experience placementInterim roleWork at officeLocal areaFlexible hours
$85k - $95k
Clinical DRG Auditor - Remote Date: Apr 10, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception... ...for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in...Remote jobFull timeContract workFlexible hours- ...Caroline, Tennessee, Texas, Virginia, Wisconsin Description This position ensures the accuracy, completeness, and compliance of medical coding and clinical documentation for professional coding services. The role supports accurate coding practices, appropriate reimbursement,...Remote jobWork at office
- ...Investigations Unit. You will perform medical claim reviews for coding accuracy and compliance across medical, behavioral health, transportation and... ...irregularities. This role requires strong attention to documentation, communication skills, and travel as needed. #J-18808-...
- MUST RESIDE IN TEXAS AND HAVE CODING AND AUDITING EXPERIENCE. Counter Affidavit as well as Testimony experience is preferred.... ...experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Counter Affidavit experience is...Temporary workPart timeRemote work
- ...success.JOB SUMMARY:Facility Outpatient Coding Quality Specialist (Auditor)Experience with the following:... ...responsibilities or competencies may be documented in the Team Member’s performance... ...and billing codes to ensure compliance with legal and procedural policies...Live inWork at officeImmediate startRemote work
- Saddle Creek Logistics Services in Haslet, TX, seeks a Lead Compliance Auditor to enforce retail compliance and quality standards, representing... ...SOP creation and audits. The role requires strong document handling, technical writing, and effective team communication...Day shift
- ...ensure alignment with internal standards and external compliance requirements. Analyze documentation, data, and operational workflows to identify errors,... ...at Randstad USA by 2x Sign in to set job alerts for “Auditor” roles. Graduate Accountant - Austin - Part Time Austin...Contract workPart timeRemote work
- Lead Compliance Auditor (1st Shift) Mon - Thurs, 6:00am-4:30pm## California applicants please read the CCPA policy **here**.### Lead Compliance... ...Procedures (SOP)* Ensure all SCL accounts SOPs are documented and maintained* Perform Internal Audits on all tasks performed...Weekly payFull timeTemporary workWork at officeLocal areaImmediate startShift workDay shift
- ...YOU’LL DO: The Internal Auditor for Federal Programs is... ...red flags indicating fraud. Conduct investigations... ...witnesses. Perform financial, compliance, contract, and... ...prevent future fraud. Document findings, prepare detailed... ...Specialty (MOS) Code or Crosswalk information...FraudContract workWork experience placementSummer workLive inWork at officeRemote workWork visaFlexible hoursNight shiftWeekend workAfternoon shift
- ...Description: The Internal Auditor Associate II performs operational audits, financial audits, compliance audits, and consulting engagements... ...Standards, and the IIA Code of Ethics. The position contributes... ..., operational, reporting, and fraud risks, and mitigating controls...FraudNight shift
- ...- B23 State Classification: Auditor III- 1048 FLSA Status: Exempt... ...conducting financial and procurement compliance reviews for organizations... ...(CAPs)/corrective action documents (CADs) and close-out processes... ...Occupational Specialty (MOS) Code or Crosswalk information is available...Work experience placementWork at officeRemote workWork visaMonday to FridayFlexible hoursNight shiftWeekend workAfternoon shift
- ...Description We are specifically seeking an experienced I-9 Auditor who has hands‑on experience auditing Form I-9s and... ...responsible for conducting detailed reviews of employee Form I-9 documentation to ensure compliance with federal employment eligibility requirements. This...
- ...Examiner II to perform routine financial examinations of cost reports and compliance data for contracted providers. You will review trial balances, general ledger, payroll data, and supporting documentation to ensure accuracy, working with moderate supervision. The role...Remote job
- ...Examiner I will work in the Austin office of the Inspections and Compliance Division of the Texas State Securities Board. Performs on-site... ...principals. Job duties include collection and analysis of documents and financial records obtained from inspections and documentation...Work at office
- ...Austin seeks a Financial Examiner I to join the Inspections and Compliance Division. You will perform on-site inspections of registered... ...investment advisers, collect and analyze financial records, and document findings to ensure compliance with the Texas Securities Act....
- TSABAA is seeking an Internal Auditor for Federal Programs to perform advanced internal auditing on federal Food & Nutrition programs, focusing... ...with IT, Legal, Financial Services, and HR to strengthen anti-fraud measures. You will report to the Director for Internal Audit and...FraudRemote jobSummer work
$71.1k - $97.8k
...Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical... ...is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ...Bi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...Company seeks an experienced investigator to conduct fraud, waste, and abuse (FWA) investigations in a... ...and support case resolution. You will analyze and document investigative activities, coordinate with compliance, legal, and external agencies, and assist with audits...FraudRemote job
- ...fintech for the construction industry. We’re hiring a Junior Compliance Analyst to handle the compliance case queue, review documents, perform KYC/KYB checks, and research customers per policy from our fraud and risk team. This hands-on role suits someone with 1+ years...FraudRemote work
- ...Corporation is seeking an investigator to conduct fraud, waste, and abuse investigations across... ...data, and medical records. You will document findings, prepare reports, and... ...support program integrity and regulatory compliance. The role requires a Bachelor's degree and...FraudRemote job
$54.7k - $64.5k
...managing card operations, investigating fraud, resolving payment discrepancies, and... ...operational performance. Assist with audits, compliance reviews, and examinations related to... ...Develop and maintain procedures and documentation supporting card services operations....FraudWork at officeWork visaMonday to Friday- ...journey. We are currently seeking an exceptional Chemical Inventory Auditor here at Incora.As the leading supply chain solutions business... ...veteran status, or any other legally protected status. In compliance with the Americans with Disabilities Act, we are committed to...Full timeContract workWork at office
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