Audit Specialist (Healthcare Audits)
AssistRx
Compliance Specialist We are in search for a Compliance Specialist. Compliance works to ensure controls and safeguards are in place to promote adherence to applicable federal and state laws, assess risks to the organization, and maintain the security and privacy of patient and customer data. Duties and Responsibilities Assists the Compliance Manager with performing internal reviews, research and/or audits to verify compliance with government laws/regulations, client requirements, accreditations/certifications, audit frameworks, and/or organizational policies/procedures. Documents findings and organizes data for identification of potential risk areas. Stays informed of applicable rule and regulation changes in the healthcare and pharmaceutical industries. Assists in the day-to-day operations of the Document Management System (DMS) and Learning Management System (LMS). Coordinates with appropriate departments and/or cross-functional teams to ensure all applicable documents are reviewed and revised within the specified timeframes. Has attention to detail, organization skills, excellent proofreading skills, prompt response to action items, and the ability to handle change. Performs document control functions, including tracking, processing, review, formatting, distribution, and archiving of documents. Evaluate document organization, proofread, and provide additional quality checks before document finalization. Assists the Compliance Manager in the review and management of third-party audits. Verifies compliance with insurer rules, Medicare, Medicaid, HIPAA, and other applicable regulations. Assists in Incident Management and CAPA process. Assists Compliance Manager in conducting enterprise-wide Risk Assessment. Receives, investigates, and resolves compliance and/or privacy related complaints or concerns. Maintains Compliance & Privacy logs as required. Assists the Compliance Manager in training efforts and initiatives, including preparation of materials and presenting training through a variety of methods Performs other related duties as assigned by management. #J-18808-Ljbffr AssistRx
- We are in search for a Compliance Specialist. Compliance works to ensure controls and safeguards... ...internal reviews, research and/or audits to verify compliance with government laws... ...applicable rule and regulation changes in the healthcare and pharmaceutical industries Assists...SuggestedTemporary workWork at officeLocal areaImmediate startFlexible hours
- 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...Suggested
- AssistRx is looking for a Compliance Specialist to ensure adherence to healthcare regulations and internal policies. Responsibilities include assisting with internal reviews and audits, documenting findings, and managing the Document and Learning Management Systems. The...Suggested
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- A healthcare solutions provider is seeking a detail-oriented Post-Pay Audit Manager in New York, responsible for leading audit operations across onshore and offshore teams. The ideal candidate will have over 5 years of experience in medical auditing and a solid understanding...
- A healthcare consulting firm is looking for an experienced Director of Post-Pay Audit to lead audit teams in both U.S. and Philippines operations. The role involves overseeing comprehensive post-payment audits for various payers, ensuring compliance and maximizing revenue...
- JFS and Associates is seeking a Fee Schedule Auditor to support a multi-site healthcare services organization’s managed care team in Maitland, FL. The role will involve reviewing and maintaining contracted rate tables for accurate reimbursement and compliance. The ideal...Remote jobWork at office
- 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...
- ...Auditor to their SafeGuard Services (SGS) team in New York. The Auditor will apply intermediate subject matter knowledge to conduct audits, identify risks, and provide analytical support for financial processes. The ideal candidate will have a degree in finance or a...Remote jobFlexible hours
$80k - $90k
...now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum... ...matter expertise.* Conducts Appeals reviews on medical review audit work completed by the medical review clinical and documentation...Remote workFlexible hours- ...Health Services (CHS), one of South Florida's leading faith-based healthcare organizations, is seeking an experienced and highly motivated... ...risk reduction strategies and corrective action plans. Conduct audits and compliance reviews to ensure adherence to policies,...Work at officeLocal area
$66.46k - $129.59k
...should be available and willing to work a shift which will include Saturdays. Leads and supervises a multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care...Contract workWork experience placementWork at officeLocal areaRemote workShift work$52.5k
...applicants Direct message the job poster from MedPro Healthcare Staffing Talent Acquisition Specialist | People Person | Beauty Lover Accounts Receivable... ...Employment type Full-time Job function Accounting/Auditing and Customer Service Industries Hospitals and...Weekly payFull timeTemporary work- ...regarding external customers, agencies, vendors, internal departments and co-workers. This position is responsible to assist the Internal Audit Department in its review and examination of the Company's internal controls for the results to be reported to Senior Management and...Remote work
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- NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers... ...a team of Risk Adjustment Coders, HEDIS specialists, Billers, and Auditors to maintain daily... ...reporting requirements, including RADV audits, on an annual basis. Perform other...Temporary workWork at office
- ...recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and... ...collaboration with the FSQ Manager/Director. Facilitate internal audits, weekly GMP audits, and environmental monitoring trend reviews;...Work at officeFlexible hours
- ...Administration, and strong communication skills. Responsibilities include evaluating financial accuracy, assisting with compliance audits, and preparing detailed reports. The position offers a dynamic team environment, growth opportunities, and a robust benefits package...Remote job
$65k - $75k
...through approximately 602 locations and has about 9,600 employees in North America as of December 31, 2025. Job Purpose As an Internal Audit Analyst, you will participate in the Company’s compliance and process improvement efforts through execution of the annual internal...$45.39k - $88.51k
Molina Healthcare in California is seeking a Claims Supervisor to lead the claims activities team. Responsibilities include supervising claims processing, managing team performance, and analyzing claims reports to improve efficiency. Ideal candidates will have over 5 years...- ...home care or medical device industry Experience with B2B2C business models and omni‑channel marketing strategies Knowledge of healthcare systems and chronic bladder conditions Experience with business transformation initiatives Leadership experience and ability to...Temporary workWork at officeRemote work
$140k - $160k
...Excellent leadership, communication, organizational, and problem‑solving skills About Us Our company is 50+ years strong, a Global Healthcare Organization that prioritizes people‑first values, employee well‑being, innovation, and purpose‑driven work. We foster high...Full timeWork at office$90k - $110k
Description The Financial Systems Analyst manages the day‑to‑day operation of the firm’s financial systems, ensuring the accuracy and integrity of system data. This role handles routine maintenance, supports issue resolution, and assists in implementing enhancements that...Work at office- Prestige Trucking Insurance is seeking a detail‑oriented and analytical Auditing Specialist to support financial accuracy, regulatory compliance, and operational integrity across the organization. This role is responsible for conducting internal audits, reviewing financial...Work at office
$26.13 - $33.97 per hour
...is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29... ...Auditor/Educator performs comprehensive audits to determine integrity of coding/billing... ...Certifications: AHIMA Certified Coding Specialist-Physician-based. AAPC Certified Professional...Remote jobWork at office- ## Sr. Revenue Cycle Audit Specialist (H)Applyremote type: Hybridlocations: Medley, FLtime type: Full timeposted on: Posted Todayjob requisition id: R100097974**Current Employees:**If you are a current Staff, Faculty or Temporary employee at the University of Miami, please...Full timeTemporary workWork at officeLocal areaWorldwide
- ...possess strong customer service abilities and be comfortable handling guest inquiries effectively. This hybrid role includes night audit responsibilities and requires clerical and computer proficiency. A high school diploma is preferred, and candidates must be at least...Part timeNight shift
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