- Fairview Health Services (St. Paul, MN)
- **Job Overview** **Fairview is looking for a Senior Corporate Compliance Auditor to join our Corporate Compliance department.** **Bring Your Possibilities to ... supporting those who do, your work matters. The Senior Corporate Compliance Auditor is an independent, self-directed professional who possesses a blend of… more
- Elara Caring (Dallas, TX)
- …Right Time, in the Right Place. **Job Description:** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice, Behavioral ... (PCS) agencies at Elara Caring to ensure compliance with Medicare and Medicaid regulations and billing rules. Areas of...coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Finance Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Financial Compliance Auditor III Finance is a hybrid role and is...(DMHC), Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and other federal and… more
- Mohawk Valley Health System (Utica, NY)
- Supervisor Coding Auditor & Educator - Full Time - Days Department: MEDICAL GROUP ADMINISTRATION Job Summary The Supervisor Coding Audit and Education is responsible ... and education initiatives within the Medical Group. This role supervises Coding Auditor & Educators and conducts coding audits, ensuring adherence to national… more
- Catholic Health (Kenmore, NY)
- …JOB SUMMARY: The Catholic Health (CH) Health Information Management (HIM) Educator/ Auditor will work cooperatively with CH coding associates, physicians, Inpatient ... for use in billing, reimbursement, clinical outcomes, and for SPARCS reporting. The Educator/ Auditor will monitor and perform audits of coded data for accuracy based… more
- MedKoder (Mandeville, LA)
- …remote position that offers a flexible schedule. Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional ... and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare , Medicaid, and third-party payer guidelines to ensure receipt of… more
- Humana (Santa Fe, NM)
- …a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle… more
- CHS (Clearwater, FL)
- **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... + Knowledge of medical coding systems + Knowledge of Medicaid/ Medicare Guidelines + Knowledge of billing rules and regulations....to thirty (30) pounds. ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** **… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Health Plan Auditor Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... achieve that purpose. Job Summary The Senior Health Plan Auditor is a hybrid role and is responsible all...Serves as primary contact and liaison for Centers for Medicare and Medicaid Services (CMS) claim audit section of… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Staff Auditor I Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: June 30, 2025 Apply with Linkedin Apply Department of Health ... to its staff. ABOUT THE POSITION: As a Staff Auditor I you will: + Perform professional audit work...grow personally and professionally as you acquire knowledge of Medicare , Medicaid, and Federal grants. REQUIREMENTS: To qualify, you… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for various tasks within...for a variety of complex areas of the Medi-Cal, Medicare , Covered California, and PASC-SEIU benefit and process. This… more
- AdventHealth (Tampa, FL)
- …Primary Stroke Center. **The ro** **le you'll contribute:** The Coding Quality Auditor , under the general supervision of the Outpatient Coding Manager, is ... for the internal coding audit and clinical quality reviews. The Coding Quality Auditor will work in conjunction with the Outpatient Operations Manager to ensure the… more
- Trinity Health (Boise, ID)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Coding Auditor & Educator performs medical record audits including analysis of medical ... and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder's charge… more
- MVP Health Care (Schenectady, NY)
- Compliance Auditor Headquarters Office, 625 State Street, Schenectady, New York, United States of America Req #2662 Friday, June 20, 2025 At MVP Health Care, we're ... thinking and continuous improvement. To achieve this, we're looking for a **Compliance Auditor ** to join #TeamMVP. This is the opportunity for you if you have… more
- Elevance Health (Atlanta, GA)
- **Clinical Provider Auditor II** **Virtual** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... eliminate and prevent unnecessary medical-expense spending. The **CLINICAL PROVIDER AUDITOR II** is responsible for identifying issues and/or entities that may… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- Summary The Health Information Section (HIMS) Coding Auditor is responsible for coding and provider audits. Overseeing the appropriate coding assignment of ICD-10 ... any coding assigned. Responsibilities Duties of the Medical Records Technician (Coder) Auditor include but are not limited to: Performs weekly or monthly audits… more
- AdventHealth (Tampa, FL)
- …Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the Inpatient Operations Manager, is responsible ... the daily auditing of records. The Inpatient Coding Quality Auditor works in collaboration with the Manager to ensure...applicable to AdventHealth West Florida Division and requirements of Medicare and payor specifications. . Assign DRGs on chart… more
- UCLA Health (Los Angeles, CA)
- …next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the ... auditor . You will review claims (paid, pending, and denied)...CPT-4, ICD-9CM, RBRVS, ASA, and HCPCS + Understanding of Medicare Guidelines and COB + Knowledge of medical terminology… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Inpatient Coding Auditor ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... Graduate preferred + Certified as a RHIA or RHIT, with CCS preferred + Medicare Inpatient and Outpatient Coding Experience + Ability to travel up to 25% Specific… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Special Investigative Unit Auditor to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana… more