Certified Medical Coder & Compliance Auditor
Hispanic Alliance for Career Enhancement
CVS Health is seeking a Certified Professional Coder to perform medical claim reviews for the Special Investigations Unit. The CPC will ensure coding compliance, review medical records, and identify billing irregularities across providers and plans. The role requires CPC certification, 3+ years in coding/auditing, and strong knowledge of CPT/HCPCS/ICD-10. A statewide or NC-based focus with thorough documentation and collaboration with Medical Directors is expected. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$71.1k - $97.8k
...Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate... ...accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayFlexible hours$48.3k - $65.9k
...related denial or financial recovery. The Medical Coding Coordinator performs advanced... ...Minimum of 3 years' experience as a Certified Medical Coder Demonstrate ability to problem-... ...Humana to take affirmative action, in compliance with Section 503 of the...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$70k - $80k
A safety solutions firm in Raleigh, NC seeks a Construction Safety Auditor to conduct site audits and ensure compliance with safety regulations. The ideal candidate will have a four-year degree in Safety and Health and 2-3 years of related experience. Responsibilities...Suggested- ...audit assurance activites including financial, operational and compliance audit programs while staying abreast of current trends, new... ...profession, financial services industry and regulatory environment. Auditors will be responsible to accurately interpret the results of...SuggestedWork at officeRemote work
- ...Flexible Days: Tuesday - Saturday OR Sunday - Thursday The Medical Records Outpatient Coder III will work remotely on a PRN (non-benefit eligible)... ...we serve. Certifications And Licensures Required : Certified Coding Specialist (CCS) Preferred : RHIT (Health Information...SuggestedRemote jobReliefFlexible hoursShift workWeekend work
$185k - $200k
...reporting function3. Professional certification as a Certified Public Accountant, Certified Internal Auditor, or Certified Information Systems Auditor or other... ...of Truist offering the position. Truist offers medical, dental, vision, life insurance, disability, accidental...Full timePart timeWork at officeShift workDay shift$130k - $145k
...specifically the Institute of Internal Auditors’ (IIA) Standards and SR 13-14. Knowledge... ...Qualifications:1. Professional certification as a Certified Public Accountant, Certified Internal... ...offering the position. Truist offers medical, dental, vision, life insurance,...Full timePart timeWork at officeShift workDay shift- Truist Financial Corporation is seeking a Senior Internal Auditor to support risk-based assurance activities. The role involves interviewing stakeholders, documenting results, and executing testing strategies with data analytics to identify control weaknesses and provide...
- Truist Senior Internal Auditor will help complete risk-based internal audit assurance activities, interpret results, and identify control weaknesses. The role may lead segments of smaller audits or special reviews while guiding junior team members to improve performance...
- ...review the following job description: Truist Senior Internal Auditor is responsible for assisting in the completion and documentation... ...by the division of Truist offering the position. Truist offers medical, dental, vision, life insurance, disability, accidental death and...Full timePart timeWork at officeShift workDay shift
$46.99k - $122.4k
...Summary The Program Integrity Auditor is responsible for the review of records for medical, behavioral, transportation,... ...rules. Maintain compliance with company policies and procedures... ...Must possess an active CPC (Certified Professional Coder), CCS (Certified Coding Specialist...Hourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$17.94 - $25.25 per hour
A leading healthcare provider in Raleigh is seeking a Medical Assistant I, Certified, to offer clinical and administrative support in an outpatient clinic. The role involves collecting patient data, assisting providers during treatments, and managing essential clinic operations...Hourly payFull time- ...predefined indicators, and abstracting medical records. Provides timely and accurate ICD... ...statistical purposes. Serves as a liaison between coders and CDS team on coding and documentation... ...Information Administrator Required - Or Certified Professional Coder Required - Or...Remote work
- ...years. Position Summary The DRG Auditor is responsible for reviewing... ...in ICD-10 coding to analyze medical records, determine coding... ...requires certification as a Certified Coding Specialist (CCS) and a... ...identifying discrepancies and ensuring compliance. Ability to manage high...Remote jobFlexible hours
$80k - $110k
...seeking a detail-oriented and strategic Audit Senior to participate in our public accounting audit functions and ensure organizational compliance with regulatory standards. The ideal candidate will possess a sharp analytical mind, a commitment to integrity, and the...- ...and audit progress to team, clients and auditor-in-charge Self prioritize and effectively... ...At least 3 years of experience in compliance At least 2 years of experience in leading... ...management, or any combination preferred Certified Internal Auditor (CIA) or Certified Public...
$64.62k - $112.73k
...the industry. Apply today! The Internal Auditor is responsible for execution of the internal... ...This includes performance/operational, compliance, information system, financial and... ...field and certification/licensure as a certified internal auditor, certified fraud examiner...Work experience placementWork at officeRemote workFlexible hours- ...Senior Internal AuditorThe Senior Internal Auditor is a key role that supports the... ...management, operational effectiveness, and compliance with Company policies.Draft clear, practical... ...Administration, or a related field.Certified Internal Auditor, Certified Public Accountant...Local area
- ...Medical Coding Specialist Perform dictionary coding in accordance with study specific coding conventions using MedDRA and WHO Drug... ...concerning dictionary use and code assignment Ensure compliance with industry quality standards, regulations, guidelines and procedures...Work at office
- A leading healthcare provider is seeking a skilled Medical Records Outpatient Coder III. This remote position requires expertise in coding for emergency, same day surgery, and observation cases. The ideal candidate has a CCS certification and 5 years of outpatient coding...Remote jobFlexible hours
- Direct Jobs is seeking a Senior Coder in Raleigh, North Carolina, providing expertise in... ...assignment. The role includes abstracting medical records and timely coding for... ...Registered Health Information Technician, Certified Professional Coder, and a degree in Health...
$90k
...changes and focused education. Will also ensure adherence to compliance policies and contracts. Knowledge and experience of Healthcare... ...level reporting levels Knowledge/Experience of HEDIS/Star Rating Medical Record Retrieval/Provider Engagement Coordination Risk...Relocation- A veteran-owned translation services company is seeking a Quality Assurance Specialist with expertise in Spanish interpretations and translations. The role involves reviewing quality assignments, conducting audits, and providing linguist feedback. Candidates should be ...Flexible hours
- CVS Health is seeking a strategic compliance leader to drive Medicaid provider compliance, audit readiness, and enterprise risk management... ..., compliance, legal, provider operations, and external auditors to proactively identify risks and implement best-in-class audit...
- ...A leading health insurance company is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims and ensuring accurate coding and reimbursement. Candidates should hold an RHIA, RHIT, or CCS certification with substantial...Remote work
- ...in Raleigh, NC, is seeking an experienced veterinary regulatory auditor to perform GCP/GLP audits of veterinary products and studies. The role involves coordinating audit schedules, assessing compliance against protocols, SOPs, and local requirements, and delivering clear...Remote jobFreelanceLocal area
- Midwest Technical Inspections (MTI) is seeking experienced physical premium auditors to work on an independent contractor basis throughout the state of North Carolina . MTI provides nationwide premium audit services for clients in the insurance industry and conducts audits...For contractorsWork at officeRemote workFlexible hours
$57.73k - $80.24k
RCS Medical Coding Auditor page is loaded## RCS Medical Coding Auditorremote type: Hybridlocations: Raleigh, NCtime type: Full timeposted on:... ...auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines...For contractorsWork at officeLocal area- Are you looking for a career path that offers flexibility and independence? Do you want to be rewarded for your high performance and hard work? Are you tired of being just a number in a corporation and want to make a positive and direct impact on an organization’s success...Full time
$54.14k
## Tax Auditor - RaleighApplyremote type: Hybridlocations: Wake County, NCtime type: Full timeposted on: Posted 3 Days Agojob requisition... ...dedicated team provides accurate information, achieves high compliance, and delivers innovative services with integrity and fairness....Permanent employmentFull timeRemote work
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