Remote Compliance Audit Manager - Healthcare (CMS)
Habitat Health
- Remote job
Habitat Health seeks a Compliance Manager to oversee CMS/SAA audits and partner with leadership to foster a culture of compliance. Remote role with travel up to 30%, reporting to the Director of Compliance. Lead audit readiness, live audits, and data-driven risk responses while aligning with PACE standards and company policies. The role requires an RN license, 3+ years in healthcare audit, and experience in PACE compliance. #J-18808-Ljbffr Habitat Health
- ...pioneer in Contactless Remote Patient Monitoring (... ...collaborate with top healthcare providers in the country... ...Position Summary: The Compliance Manager is responsible for... ...Responsibilities 1. CMS / Medicare RPM Billing... ...change logs. 4 .Internal Audit — Monthly Claims...Remote workCms16 hoursContract workLocal areaShift work
$145k - $175k
...is supported by leading healthcare organizations and... ...more, visit Location: Remote (with ability to travel... ...The Habitat Health Compliance Manager has oversight for ensuring... ...Medicaid & Medicare Services (CMS) and State Administering Agency (SAA) audits, and for partnering...Remote workCmsContract workTemporary workFixed term contractLocal areaFlexible hours- ...partner company, who manages all applications... ...is looking for a Compliance Manager based in the... ...an experienced Healthcare Compliance Manager... ...help ensure that remote patient monitoring... .... Through regular audits, staff training, and... ...Track updates to CMS Physician Fee Schedule...Remote workCmsFull timeContract workFor contractorsWork at officeLocal area
$105k - $115k
...Compliance Program Manager Liberty Dental Plan is seeking a strategic... ...and interpreting healthcare regulations, translating... ...focused primarily on audits, corrective actions,... ...laws, regulations, CMS guidance, and contractual... ...expenses. ~ Remote or hybrid work options...Remote workCmsWork at officeImmediate startFlexible hours$120k
...reducing friction in healthcare. We are committed... ...legal and compliance services to our internal... ...hiring a Compliance Manager to be an integral... ...Managed Care audits and managing the compliance... ...credentialing, CMS guidelines,... ...opportunities Remote Opportunities...Remote workCmsFull timeTemporary workLocal area- ...programs, regulatory compliance and accreditation... ...serves healthcare providers nationwide... ...compliance with CLIA, CAP, CMS, OSHA and... ...inspections, surveys, audits and follow-up activities... ...(MACs). Manage required state positivity... ...~ This role is a remote position with...Remote workCmsPermanent employmentFor contractorsLocal area
- Cardinal Health is seeking an Audit/QA leader in Revenue Cycle Management to oversee audit responses, ensure compliance with Federal and State... ...timelines, coordinates with CMS and auditors, and reviews clinical... ...audits. The position offers remote work with schedule alignment...Remote jobCms
$75.1k - $123.4k
...The CVA Quality Manager leads the planning... ...Clinical Validation Audit quality review... ...understanding of CMS regulations, payer... ...Location: 100% Remote, U.S.-based. Travel... ...appropriate human review, compliance, and data security... ...clients in the healthcare industry. A...Remote workCmsFull timeWork at office- EXL Service is seeking a CVA Quality Manager to lead the planning, coordination,... ...and execution of Clinical Validation Audit quality review activities. You will... ...knowledge in inpatient record reviews, CMS criteria, and audit tools. Remote work within the U.S. is supported,...Remote jobCms
- ...Location: Remote (U.S.-based) Commitment... ...navigate a complicated healthcare system with... ...advocates deliver care management and medical visits... ...part-time Head of Compliance to own our... ...collect — holds up to CMS, OIG, state and payer... ...and billing: audit our use of Medicare...Remote workCmsPart timeLocal areaFlexible hours
$272.69k - $373.8k
...for quality programs such as CMS 5 Stars, P4P, Anthem Q Hip, Leapfrog... ...‑Reliability culture. Ensure compliance with regulatory and... ...and operational performance management within the facilityb. Develops... ...positions that are available as remote work, Sentara Health employs...Remote workCmsFull timeTemporary workLive inLocal areaShift work$43 - $48 per hour
...Title: PB Provider Audit and Education... ...state): Houston, TX – Remote with rare onsite needs Industry: Healthcare / Professional Billing / Coding Compliance & Education Pay:... ...Provider Educators while managing day-to-day workflow... ..., surgeries, CMS guidelines, coding...Remote workCmsContract workTemporary workLocal areaImmediate startMonday to FridayShift work$216.11k - $283.64k
...Director, Regulatory Management to join our Clinical... ...ensures enterprise compliance with NCQA, CMS, state, and accreditation... ...Location: This is a remote position, open to... ..., clinical delegate audits, and Potential... ...on state and federal healthcare regulations, continuously...Remote workCmsWork at office- ...platform trusted for healthcare. Guided by our mission... ...Looking For: As a Profee Auditing Specialist, you will... ...to coding quality, compliance assessments, external... ...education, interim coding management, and coding workflow... .... This role is fully remote with a flexible...Remote workCmsFull timeInterim roleRelocation packageFlexible hours
$138k - $201k
...: fulfill Aspire’s compliance commitment by planning... ...external regulatory audits, identifying... ...primary contact with CMS and the Department of Managed Health Care (DMHC) in... ...CHC (Certified in Healthcare Compliance), CIA (Certification... ...CA, with hybrid or remote work arrangements...Remote workCmsFull timeWork experience placementWork at officeLocal area$76.21k - $117.66k
...Description The hospital bill audit nurse supervisor will... .... This is a remote position. ESSENTIAL... ...service and relationship management Perform audits as necessary... ...and understanding of CMS, payor, and other... ...accuracy and transparency in healthcare payments. We are a...Remote workCmsMinimum wageFull timeContract workLocal areaFlexible hoursNight shift- ...0-15Sound Physicians is seeking an Associate Compliance Coding Auditor to perform routine coding and documentation audits using established methodologies and tools. The... ....The candidate should have 2-3 years of healthcare coding experience and active credentials (CPC...Remote workCms
- Company DescriptionProSidian is a Management and Operations Consulting... ...for Risk Management, Compliance, Business Process, IT Effectiveness... ...Seeks a C&SCM Audit & Compliance Manager | Compliance... ...you pre-tax cover eligible healthcare and daycare costs. You estimate...CmsFull timeContract workTemporary workFor contractorsWork at officeFlexible hours
- ...emergency response systems and remote patient monitoring... ...solutions. Trusted by families, healthcare providers, and care managers, our work is powered by a... ..., is seeking a Senior Compliance Manager to play a pivotal... .... 2. Internal Audit & Risk Management Develop...Remote workTemporary workWork at officeLocal area
$200.9k
...belong here. Coinbase is a remote-first, but not remote-... ...a robust, scalable compliance function in support of... ...obligations. As Compliance Manager, you will partner with... ...Markets Services (CMS) licensing program and... ...reviews, external reviews, audits, or regulatory feedback...Remote workCmsLocal area$122.74k - $153.42k
...a leader in infusion therapy and pain management, develops, manufactures, and markets innovative... ...medical products and services to the healthcare industry. Other key product areas... ...solutions, is seeking a Quality Compliance Audit Manager to lead and support global quality...Remote work- ...Description MDS Education & Audit Specialist Cascades Healthcare Department: Clinical /... ..., identifies accuracy and compliance concerns, delivers... ...RAI Manual requirements, CMS guidance, PDPM requirements... ...and training platforms for remote education and coaching....Remote workCmsWork at office
- ...the RoleHappen Bank Internal Audit provides independent, objective... ...the effectiveness of risk management, control, and governance processes... ...an experienced and adaptable Compliance Audit Manager who thrives in... ...for this role’s success, and remote placement will not be...Remote workFull timeWork at officeLocal areaRelocationFlexible hours
$95k - $100k
...Description Department: Compliance Reports to: Senior... ...manner. The Compliance Manager owns the day-to-day operation... ...point of contact for client audits and examinations. Success... ...creditor client audits - onsite, remote, and desk reviews - including...Remote workCmsPermanent employmentFull timeContract workTemporary workWork at office$110 per hour
...billing, support, EHR, audits, and compliance) so that you can... ...mission is to make mental healthcare work for everyone.... ..., diagnosis, triage, managing common psychiatric medication... ...building, and remote crisis management).... ...clinical guidelines and CMS billing standards....Remote workCmsBi-weekly payFor contractorsPrivate practice- ...Coding Auditor The Coding Auditor is a professional auditing role designed for a certified professional coder. Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately...Remote workCms
$105k - $115k
...partner company, who manages all applications and next... ...is looking for a Compliance Program Manager based... ...initiatives within the healthcare industry, ensuring that... ...& Medicaid Services (CMS), assessing their impact... ...the United States, with remote or hybrid work...Remote workCmsWork at officeImmediate startVisa sponsorshipRelocation packageFlexible hours- ...Working remotely, the full-time Medical Coding Quality Auditor will ensure coding accuracy and compliance by reviewing medical documentation, assigning... ..., and collaborating with healthcare providers to maintain... ...peer reviews and quality audits of coding auditors and coders...Remote workCmsFull time
$1,751 per week
...Registered Nurse (RN) | Case Manager Location: Austin,... ...InterQual/MCG and CMS regulations.... ...technologies simultaneously. Remote work experience. Description... ...medical necessity and compliance with reimbursement... ...planning needs with healthcare team members. May...Remote workCmsFull timeContract workWork experience placementShift work- 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 workCms
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