Audit Defense Auditor & Coder — Healthcare Compliance Lead
CareCloud
Empower Healthcare and Compliance Partners, a CareCloud subsidiary, is seeking an Audit Defense Auditor/Coder in a hybrid on-site role based in Somerset, NJ or Fort Lauderdale, FL. You will conduct detailed medical record reviews, ensure CMS and payer guidelines compliance, and generate precise findings reports for clients. You'll lead coding audits, mentor teams, analyze data to improve documentation, and support appeals with Legal and Compliance. #J-18808-Ljbffr CareCloud
- A healthcare organization in New York seeks an experienced individual to safeguard revenue and reputation through auditing and compliance activities. Responsibilities include conducting medical record audits, developing formal reports for senior management, and coordinating...Suggested
- ...products and services for the healthcare industry. We are at the... ...and code it. Evaluates and audits physician and hospital medical... ...medical assessment forms to ensure compliance with CMS guidelines and... ...American Academy of Professional Coders, or Practice Management Institute...SuggestedTemporary workMonday to Friday
$100k - $102.5k
...clinical excellence to healthcare. As such, we are a leading authority in payment integrity... ...Payment Integrity Coder Auditor is responsible for reviewing... ...ensure coding accuracy, compliance, and appropriate payment... ...strong analytical and auditing skills. Salary Range: $1...SuggestedRemote work- GeBBS Healthcare Solutions is seeking a seasoned Coding Compliance Auditor to assess inpatient and outpatient records, verify ICD-10-CM/PCS, CPT and HCPCS coding, and identify compliance risks. You will educate coders and collaborate with cross-functional teams to improve...SuggestedRemote job
- Datavant is seeking a Professional Auditing Specialist to perform coding audits and ensure compliance in healthcare. This fully remote position requires over 5 years of coding... ...certification. The role involves educating coders and maintaining a high accuracy rate....SuggestedRemote job
- ...Environmental, Health, and Safety (EHS) Compliance Auditor, EHS Compliance Program Manager. The... ...services and EHS regulatory compliance audits (potentially including process safety management... ...: Plan, participate, and lead various styles of audit programs. Conduct...Work at officeLocal areaWorldwideRelocationFlexible hours
$85k - $90k
...ultimately improving access to healthcare. We achieve this by... ...leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is... ...CPC, CIC Coding validation/auditing experience Well-developed verbal... ...asked to complete certain compliance requirements set forth by our...Work at office$85k - $90k
A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful...- ...provides inventory services to the healthcare delivery industry. They audit inventories of medical, surgical, and... ...and pharmacy operations team. Compliance with our customers' requirements is... ...protective gear when required. The auditor will physically count and document...
- ...8-18NeueHealth, a value-driven healthcare provider, seeks a Manager of Medical Auditing to lead coding audit programs across our... ...integrity, and coordinate with Compliance and Legal.Responsibilities... ...executive briefs while educating coders and clinical staff to sustain performance...
- Overview The Vice President, Lead Auditor will lead internal audits focused on U.S. and global regulatory compliance for a foreign banking organization operating in the U.S. This role requires strong knowledge of financial regulations, including Regs D, O, W (“alphabet...Full time
- ...Enhancement is hiring a Program Integrity Auditor in New York, NY. This full-time position involves auditing medical records for compliance with coding standards, identifying... ...license. Benefits include comprehensive healthcare coverage, paid time off, and retirement...Full time
$150k - $185k
Summary The Lead Auditor conducts audit assignments primarily in 2nd line corporate regulatory compliance from planning to issuance of the final report. This includes an assessment of the audited activity, the performance of tests, analysis and controls and the issuance...Local areaImmediate start$90k - $100k
...Job Purpose The Compliance Auditor will foster an environment that enhances... ..., etc., through audits. The Compliance Auditor is... ...and support findings with defensible evidence. Communicate audit... ...Minimum of three (3) years Healthcare Audit background preferably...Local area- A financial services firm based in New York is seeking a Vice President, Lead Auditor to oversee internal audits with an emphasis on U.S. and global regulatory compliance. The ideal candidate will have 6-10 years of experience in audit or compliance and strong financial...Full time
- A leading auditing firm in New York is seeking a Senior Auditor to lead audit engagements from planning to completion. You will supervise and mentor junior staff, ensuring compliance with auditing standards. The ideal candidate should have a CPA license or be actively...
- ...is seeking certified U.S. medical coders for high-level coding and documentation... ...expert to validate, refine, and audit the coding logic and documentation... ...designed for practicing coders and auditors to influence accuracy and compliance of medical AI at scale. Key responsibilities...Remote jobFlexible hours
$70k - $79k
...re Maimonides Health, Brooklyn’s largest healthcare system, serving over 250,000 patients... ...seeking a Professional Coding and Billing Auditor to conduct regular audits of medical records and coding assignments to ensure compliance with current coding guidelines and regulatory...- Center for Justice Innovation seeks a Compliance Specialist in Brooklyn, NY to implement and oversee accurate... ...the Supervised Release team. You’ll support audits, data collection, and reporting to the Court, including defense attorneys and prosecutors, ensuring program...
- RCM Healthcare Services seeks an Inpatient Coding Auditor to support healthcare organizations by performing quality reviews... ...of inpatient coding to ensure compliance, accuracy, and consistency in... ...certification, 5+ years of inpatient auditing experience, and strong knowledge...Remote jobFlexible hours
- ...Internal Auditor New york,NY(Hybrid)... ...Wealth Management Internal Audit role focused on Regulatory... ...as the "third line of defense," independently assessing... ...this involves evaluating compliance with SEC and FINRA... ...Lifecycle Management: Lead and execute audits across...Contract work
- Machinify is a leading healthcare intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to ensure compliance and high-quality documentation. The role emphasizes strong clinical judgment, coding accuracy...Remote jobWork from home
$116.72k - $175k
DescriptionClinical Revenue Auditor-CDM Patient... ...health and compliance of the organization... ...ensure compliance with healthcare regulations and... ...capture/clinical audits to assess the effectiveness... ...and/ or agendas, leading to outcomes that... ...Inpatient Coder (CIC), Certified Coding...Full timeTraineeshipLocal area- SNF Healthcare in New Jersey is seeking a Floating Nurse Auditor (LPN/RN) to support multiple locations. The role focuses on... ...to ensure accuracy, compliance, and quality of care across settings. The ideal candidate has auditing and compliance experience, familiarity...Full time
- A healthcare service provider in New York seeks a Medical Auditing Associate to conduct Medical Records reviews and evaluations ensuring compliance with CMS guidelines. This role requires a Bachelor’s degree, relevant certification, and at least 5 years of coding or auditing...Full timeMonday to Friday
- execution of closed loop audit and assessment... ...to Technology areas. compliance metrics analysis and communication... ...and innovative healthcare solutions. reports to... ...any identified gaps. Leads the resolution of complex... ...medical devices. Auditor experience in a regulated...
- Rula is a remote-first healthcare company actively hiring a Compliance Manager in the United States to strengthen the Compliance program. The role oversees... ...records operations, vendor performance, and external audits, partnering with Legal, Privacy, and Clinical teams...Remote job
- Ensemble Health Partners seeks a Senior Coding Compliance Auditor to lead the development and execution of the annual compliance workplan, including auditing and monitoring workplans, and to deliver detailed audits and high-quality reports. The role involves coaching auditors...Remote job
$38.46 - $52.4 per hour
...the markets they serve. We help healthcare organizations build innovation... .... The Inpatient Coding Auditor will be responsible for the auditing of inpatient coders and auditing of offshore inpatient... ...guidelines. Monitor compliance of coding guidelines and ensure...Hourly payPermanent employmentFull timeWork at officeLocal areaImmediate startRemote workFlexible hoursDay shift- A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...Remote work
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