Remote Clinical Compliance Auditor - Therapy
PACS Group
- Remote job
PACS Group, Inc. is seeking a Clinical Compliance Auditor I to conduct routine audits of clinical documentation and reimbursement processes for Skilled Nursing Facilities. This role ensures adherence to CMS and state regulations, supports quality improvement, and promotes accurate billing practices. Remote position with occasional travel (<25%). Preferred locations include Utah, Montana, North Dakota, South Dakota, New Mexico, Texas. Competitive benefits package and opportunities for professional growth are offered by PACS. #J-18808-Ljbffr PACS Group
- PACS Group, Inc. is seeking a Clinical Compliance Auditor I to conduct routine audits of clinical documentation, regulatory compliance practices, and reimbursement processes in Skilled Nursing Facilities. The role enforces CMS and state requirements, supports quality improvement...Remote job
- PACS Group, Inc. is seeking a Clinical Compliance Auditor I to perform routine audits of clinical documentation and regulatory compliance across skilled nursing facilities. You will help ensure CMS and state requirements are met and support continuous improvement in billing...Remote job
- ...finance, human resources, compliance, payroll, AR/AP, legal, risk... ...multiple years. Job Summary The Clinical Compliance Auditor I is responsible for... ..., documentation integrity, therapy utilization and coding, quality... ...Work Location This role is remote, requiring less than 25%...Remote workWork at officeLocal areaFlexible hours
- Guidehealth seeks a Clinical Compliance Auditor II to ensure our clinical operations and delegated services meet regulatory and client requirements... ..., and help strengthen our compliance framework in a remote, agile environment with opportunities to grow within a mission...Remote job
- WellSense Health Plan is seeking a Clinical Auditor I to perform detailed retrospective chart audits, verifying that medical documentation... ..., and clinical staff to ensure accurate billing and compliance with policy. You will review outpatient, professional, and ancillary...Remote job
- PACS Group seeks a Clinical Compliance Auditor I to conduct routine audits of clinical documentation and reimbursement processes at Skilled Nursing Facilities. You’ll ensure adherence to CMS and state requirements while supporting quality initiatives and accurate billing...Remote job
- PACS Group, Inc. is seeking a Clinical Compliance Auditor I to conduct audits of clinical documentation and regulatory compliance for skilled nursing... ...improvement, and promote accurate billing practices. Remote role with less than 25% travel. Collaboration with operations...Remote job
$82k - $87k
...powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service... ...the exam room for all patients. Job Description The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations...Remote jobBi-weekly payFull timeTemporary workFor contractorsWork at officeLocal areaWork from homeFlexible hours- Assess clinical documentation for compliance with AMA and CMS coding guidelines. Validate documentation against charges and evaluate billing accuracy. Identify audit areas and provide one-on-one education to providers. Qualifications: High school diploma required; AAS in...Remote jobDaily paid
- PACS Group, Inc. seeks a Clinical Compliance Auditor I to conduct routine audits of clinical documentation, regulatory compliance, and reimbursement processes for Skilled Nursing Facilities. The role ensures CMS, state, and local regulation adherence and supports quality...Remote jobLocal area
$29 - $52 per hour
This position is Remote in the state of Massachusetts. You will have... ...responsible for performing compliance reviews of medical and... ...system. Where applicable, the Auditor will support appeal and fraud... ...health care documentation in a clinical or administrative role Experience...Remote workHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work- ...MES Solutions is seeking a self-driven Clinical Quality Assurance Nurse Auditor (RN or LPN) to join our remote team. You will evaluate clinical information from providers and write high-quality reports in compliance with client contracts and regulatory standards. The...Remote workMonday to Friday
- Guidehealth is hiring a Registered Nurse (RN) Clinical Compliance Auditor II for a remote, full-time role. You will conduct comprehensive audits, monitor adherence to UM/PHM plans and client obligations, and lead audit programs with senior clinical leadership. The position...Remote jobFull time
- Guidehealth, a data-powered healthcare company, seeks a Clinical Compliance Auditor II to lead complex audits ensuring UM/PHM and delegated services... ...auditing. Experience with Medicare/commercial plans is preferred. This is a fully remote role. #J-18808-Ljbffr GuidehealthRemote job
- Guidehealth, a remote-first healthcare company, is seeking a Clinical Compliance Auditor II to ensure compliance across clinical operations, utilization management, and delegated services. The role partners with Clinical Leadership, Compliance, and Operations to identify...Remote job
- Guidehealth, a data-powered healthcare company, seeks a Clinical Compliance Auditor II to ensure adherence to UM/PHM plans and regulatory standards... ..., mentor staff, and help refine audit tools within a remote-friendly, collaborative team. The role requires RN licensure...Remote job
- PACS Group, a leading post-acute healthcare platform, seeks a Clinical Compliance Auditor I to perform routine audits of clinical documentation, regulatory compliance, and reimbursement processes for Skilled Nursing Facilities. You will ensure CMS alignment and support...Remote job
- We are hiring nurse auditors who can commit to a minimum of 15 hours... ...this opening, regardless of clinical background. Work availability... ...billing accuracy, regulatory compliance, and claims-handling practices... ...technical issues in a remote work environment. Required Qualifications...Remote jobHourly payContract workFor contractorsHome officeOverseasMonday to FridayFlexible hoursShift workNight shiftWeekend workAfternoon shiftWeekday work
$31.06 - $46.59 per hour
...experience, among other factors. Billing Compliance, Senior Auditor Reporting to the Manager of... ...partnership with administrative and clinical leadership. Position Highlights:... ...Location: Hybrid (Evanston, IL and remote) Full Time/Part Time: Full-time...Remote workHourly payFull timeContract workPart timeFor contractorsMonday to Friday- ...Group's Optum Insight is seeking a Sr. Recovery Resolution Analyst in Massachusetts to perform compliance reviews of medical and administrative documentation. The role is remote within MA with 40 hours/week, Monday-Friday, 8:00 am-5:00 pm local time, and occasional...Remote jobLocal areaMonday to Friday
- ...The Clinical Pharmacy Reviewer (Pharmacist) evaluates complex prior... ...clinical appropriateness and compliance with evidence-based guidelines... ..., formulary guidelines, step therapy, and quantity limits for... ...Dane Street? - Collaborative remote culture - Professional growth...Remote workFull timeLocal areaWork from home
- ...improve the world’s health. From clinical trials to regulatory,... ...contributes to the development of a therapy that ultimately will benefit... ...the efficiency, quality, and compliance of clinical studies while... ...field. Location: This is a fully remote, home-based position open to...Remote workWork at officeWork from homeWorldwideFlexible hours
$82k - $87k
...powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service... ...exam room for all patients. Job Description The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations...Remote jobBi-weekly payFull timeTemporary workFor contractorsWork at officeLocal areaWork from homeFlexible hours- ...powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service... ...inside and outside the exam room for all patients. The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations...Remote workFull timeFlexible hours
- ...Job Title: Clinical Pharmacist 1 - 210392 Address: Various, FL Job Description... ...and educate patients on their therapies. Collaborate with healthcare... .... Critical Information: Remote work environment Flexible shift and hours Ensure compliance with healthcare regulations...Remote workFull timeFlexible hours
- ...Location: Florida - Remote WHY JOIN FCS At Florida... ...network. Utilizing innovative clinical research, cutting-edge technologies... ...access to ground-breaking therapies, in a community setting, and... ...utilization monitoring and compliance. Provides support for the development...Remote workPrivate practiceWork at officeLocal areaWork from home
- ...Job Title: Clinical Pharmacist 1 - 210392 Address: Various, TX Job Description... ...inventories and ensure compliance with regulatory standards. Collaborate... ...Monitor patient outcomes and adjust therapies as needed. Critical Information Remote work allowed. Shift/hours details...Remote workFull timeShift work
- ...coding and documentation for 18 clinical departments under the direction of the Compliance Officer. Provide training and feedback... .... This opportunity is currently remote (work from home, in or outside... ...Officer, PFS and University Auditor as needed. 8. Conduct training sessions...Remote workWork from home
- ...Description Summary: The Charge Auditor Clinical is a Registered Nurse who performs the primary functions of coordinating the process... ...and billing of the observation patients to ensure compliance with all standards and guidelines as set forth. The Charge Auditor...Shift work
$55.1k - $99k
...Clinical Coding Auditor & Trainer Location: Remote, NY, US (The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the...Remote workPermanent employmentFull time
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