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
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- ...A healthcare solutions firm is seeking a highly organized Manager of Audit to manage audit-related operations in a fully remote role. The successful candidate will lead the oversight of audits, ensuring regulatory compliance, and manage a diverse team, including offshore...SuggestedRemote work
- ...Roth&Co is a top 150 accounting and advisory firm providing tax, audit, and business consulting services. With over 250 professionals... ...to every engagement, serving clients in real estate, healthcare, government, not-for-profit, and commercial sectors. Recognized...SuggestedRemote work
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- 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...
- A healthcare organization in Florida is seeking a Compliance Nurse to oversee nursing compliance and auditing. The role includes conducting chart audits, providing training, and ensuring compliance with regulations. Candidates should possess a current Florida RN license...Full timeRelocation package
- A dynamic healthcare organization in the Town of Florida, NY is seeking an experienced Controller to join their Accounting Department. The... ...knowledge of financial processes, and the ability to oversee audits and financial reporting. A Bachelor's degree in accounting and...
$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$55k - $85k
...A professional services firm is seeking an Auditor to perform account reconciliations, substantive audit procedures, and ensure compliance with US GAAP. This role allows remote work from anywhere in the U.S. and requires two years of auditing experience, specifically with...Remote work$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- GENERAL SUMMARY Leads the strategy, financial oversight, vendor management, audit, data-driven decision-making, and performance monitoring of the company’s healthcare plan. This role collaborates across HR, Finance, Legal, and external partners and vendors to optimize...Contract workWork at office
- ...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
- ...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 work
- A healthcare intelligence company located in New York is looking for a Clinical Auditor to perform clinical reviews and audits on medical records, ensuring compliance with company policies and quality assurance guidelines. This role requires an active RN license and the...Remote job
- 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
$60.2k - $107.4k
...NY/NJ, is seeking a Coding Denials & Auditing Supervisor Coding to join our team in... ...an integral part of our vision to make healthcare better for everyone. At Optum, you'll... ...Supervisor leads a team of coding denial specialists and/or auditors, drives root cause...Minimum wageFull timeTemporary workWork experience placementLive inLocal areaRemote workWork from homeMonday to Friday$20 per hour
...We are looking for an Audit Defense Specialist to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate... ...model. In this role, you will need to be an expert in healthcare. We are interested in a wide range of expertise, so...Hourly payFull timePart timeFor contractorsRemote workFlexible hours- ...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
$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...- 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
$115k
...required to ensure continuing professional development Adheres to Corporate Policies and Procedures, including the Code of Conduct, audit procedures, and any control‑related responsibilities for financial data entered, stored, or reported via business systems within...Work experience placementLocal area- Vitaver & Associates, Inc. is seeking an IT Auditor for a hybrid position based in Florida. The role involves executing independent audit reviews to assess technology controls while documenting findings in adherence to professional standards. The ideal candidate will possess...
- ...Only candidates able to relocate as required should apply to avoid removal from future consideration. Required Experience with IT audit execution, including SOX IT General Controls (ITGC) testing (3-5+ years) Experience with IT risk and control frameworks, including...Bi-weekly payTemporary workInterim roleRelocationFlexible hours
- ...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
$115k
...is seeking a Senior IT Auditor to interface with management and develop solutions to mitigate risks. This role involves executing audits, leveraging technology for efficiency, and communicating audit results to senior management. With a hybrid work model based in Doral...- ...their roles and driven to effect meaningful change in a dynamic healthcare landscape. Explore our career opportunities below and become... ...commentary Coordinate with external auditors and support annual audits Accounting Operations & Controls: Oversee general ledger integrity...
- Seacoast National Bank in the Town of Florida, NY is seeking a Senior Auditor with a focus on IT audit. The ideal candidate will drive independent audit assurance services with a strong emphasis on technology and cybersecurity. Responsibilities include identifying IT risks...
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