Coding Auditor I: Quality & Compliance Review
Baylor Scott & White Health
Baylor Scott & White Health is seeking a Coding Auditor 1 to join our health information management team. The role focuses on performing coding quality audits using ICD-10-CM/PCS, CPT, and HCPCS references to ensure accurate classification and DRG/ APC alignments. The ideal candidate will have 5 years of coding experience and hold one of the listed certifications, with strong communication skills for feedback and collaboration across departments. #J-18808-Ljbffr Baylor Scott & White Health
- Datavant is seeking an Inpatient Auditing Specialist who will address consulting and educational needs related to coding quality and compliance. This role is crucial for shaping the future of healthcare from a fully remote workspace. Responsibilities include conducting...SuggestedRemote jobFlexible hours
- ...healthcare organization in Boston is seeking a detailed-oriented professional to conduct inpatient DRG reviews. The role requires an RN or LVN and an inpatient coding certification within 4-6 months of hire. Responsibilities include performing comprehensive DRG validation...SuggestedRemote work
$46.99k - $122.4k
...and prioritize safety and quality in everything we do. Join... ...The Program Integrity Auditor is responsible for the review of records for medical, behavioral... ...to determine correct coding and appropriate... ...documentation rules. Maintain compliance with company policies and...SuggestedHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$93.8k - $106k
...Dana-Farber Cancer Institute in Brookline is seeking a Billing Compliance Reviewer to manage audits and ensure compliance with CMS guidelines.... ...and collaborating with clinical teams to improve coding practices. Qualified candidates should have at least five years...Suggested$35 - $45 per hour
...Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will offer meaningful...SuggestedHourly payRemote workRelocation packageFlexible hours- Dana-Farber Cancer Institute in Boston is seeking a Billing Compliance Reviewer who will plan and execute risk-based audits, analyze medical... ...continuous improvement in charge capture, documentation, and coding practices across hospital and professional #J-18808-Ljbffr...
- Dana‑Farber Cancer Institute in Brookline, MA is seeking a Billing Compliance Reviewer to plan and execute risk-based audits of medical necessity and coding accuracy. You will analyze documentation, ensure compliance with CMS, OIG, and payer requirements, and suggest corrective...
- ...position type and/or level. Job Summary The Coding Auditor 1 is skilled in various coding types. They perform coding quality audits and give feedback to coders. The... ...of the Role Performs routine coding quality reviews on all coders including third party suppliers...Immediate start
$93.8k - $106k
...International in Brookline, Massachusetts, is seeking a Billing Compliance Reviewer. This role entails planning and executing audits, analyzing... ...ideal candidate will have a strong background in healthcare coding and auditing. The position offers a salary range of $93,800....$73k - $104.4k
...Health then please apply through the internal career site. The coding & compliance auditor evaluates medical record documentation and coding accuracy... ...-wide compliance training needs through audits or other review techniques. Analyze data to identify deficiencies or...Work experience placementLocal areaMonday to Friday- Job Description Summary The Coding & Compliance Auditor evaluates medical record documentation and coding... ..., and maintains a formalized review process for coding compliance, including... ...determined necessary to improve documentation quality. Support all departments of the...Work experience placementLocal area
$92.5k - $110k
...MRI (financial ERP), Nexus (AP), PredictAP (invoice intake and coding), Versapay (AR and payments), and Realogic (budgeting and forecasting... ...with the VP, Data & Analytics to maintain Sarbanes‑Oxley compliance across the financial systems. Manage vendor relationships for each...Full timeWork experience placementWork at office- Alexander Technology Group seeks an Internal Auditor in Quincy, MA to evaluate technology and cybersecurity risks within an international retail organization. Responsibilities include performing risk-based audits, assessing cybersecurity controls, and presenting findings...
- ...Overview California applicants: Please review the Costco Applicant Privacy Notice. The jobs listed are examples of the typical kinds of positions that Costco may hire for when openings exist. The listing does not mean that any positions are currently open or available...Temporary work
- ...Auditor Position Reporting to the Supervisor of Audit & Records, the Auditor is responsible... ...client accounts as evidence of audit in compliance with LNRS written policy and procedures... ...software and document such issues. Review test results with VP for confirmation...Temporary workWork at officeLocal area
$50k - $100k
...Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a highly skilled Auditor to provide general auditing... ...in section 3 of the job posting. Preferred: Experience reviewing and understanding medical records and knowledge of medical billing...Full timeWork experience placementInterim roleWork at officeLocal areaFlexible hours- ...Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services CGS is seeking a Senior Auditor who will assist the... ...evidence. Communicate findings to attorneys and investigators. Review defense presentations, expert reports, and arguments. Work with...Full timeFlexible hours
- ...Auditor Employment Type: Full-Time, Mid-Level Department: Financial Responsibilities Provide general auditing and accounting services... ...services in Section 3 of the job posting. Preferred: Experience reviewing and understanding medical records and knowledge of medical billing...Full timeWork experience placementInterim roleWork at officeLocal areaFlexible hours
$71.2k
...SENIOR AUDITOR, Audit and Advisory Services Job Description SENIOR... ...MA, United States Tracking Code 26500549560514 Posted Date... ...testing and other auditing review procedures. -Prepares working... ...completing required components of the Quality Assurance and Improvement...Full timeFor contractorsFlexible hours$40 - $45 per hour
...Prevailing Wage and Apprenticeship Compliance Auditor WECTEC Staffing Services provides customer-focused solutions with offerings ranging... ...dashboards and host meetings to discuss compliance status. You will review payroll and determine if correct wages are paid, fringe...Contract workFor contractorsApprenticeship$110.2k - $122.3k
...ensure clinical accuracy and compliance in audit responses and policy... ...between the Institute and external auditors, ensuring timely and accurate... ...to external payer charge and coding audits, ensuring compliance... ...and outcomes. Clinical Review and Analysis: Conduct medical...$204.17k - $294.64k
...Chief Auditor - Boston, MA Hiring Range: $204,165 to... ...integrity, regulatory compliance, and internal controls.... ...annual IT audit planning, reviews engagement letters, monitors... ...Officer on ethics and code of conduct issues as... ..., financial reporting quality, and overall safety and...Work at office$75k
...The Encore Boston Harbor Staff Auditor will support audit planning and complete audit and review engagements. The Staff Auditor... ...and reports. Maintains quality assurance program and develops... ...significant audit finding and compliance violations. Strong background...For contractorsWork at officeLocal area$74k - $110k
...Position Summary: The Pharmacy Network Auditor is responsible for the maintenance and... ...Auditor is solely responsible for assuring compliance with client contract requirements,... ...prior to initiating claim adjustments Review results to determine details of fraudulent...Contract work- Davies Risk Services is seeking Premium Auditors to join our team in the Boston area. Work independently, conducting onsite audits, reviewing payroll and cost records, and verifying class codes based on operations. No prior experience is required, with training provided...Flexible hours
- Job Title Auditor IV - Tax Integrity - 260004E1 Job Overview The Department of Unemployment... ...own caseload and lead a team of 3-5 Compliance Officer IIIs. Direct and support team members... ..., identify training needs, assign and review work, prioritize tasks, and meet...Temporary workWork at office3 days per week
- RLD Associates, Inc. is seeking a full-time, home-based Insurance Premium Auditor to work in the field with travel to client sites. You will review accounting records, conduct interviews, and validate insurance classifications and premiums. The role requires independence...Full timeWork from homeFlexible hours
- Boston University is looking for a Senior Auditor to perform auditing review procedures and prepare detailed documentation. The role emphasizes process improvement and participation in departmental initiatives. The ideal candidate will have a Bachelor's degree in a relevant...
- Join Davies Risk Services as a Premium Auditor — No Experience Required! Are you a self‑starter... ...Work : Meet with policyholders onsite, review records, and verify operations—no two... ...journals, cost records, etc. Verifying class codes based on business operations What We’re...
$29 - $52 per hour
Optum is seeking a Compliance Auditor for a remote position based in Massachusetts. You will be responsible for reviewing healthcare claims to identify potential fraud and abuse, collaborating with other auditors, and documenting your findings in our systems. The role...Remote jobHourly pay
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