Top 551 Auditor p Jobs

Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Acute care experience
Accounting Manager
eCu Global Recycling —Strasburg, VA
- Full-time
- Background check
- 5 years
- Finance
- Health insurance
- Dental insurance
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Client Services Regional Coordinator
CATHOLIC CHARITIES OF LOS ANGELES INC —Long Beach, CA
- $23.55 - $30.00 an hour
- Weekends as needed
- Computer literacy
- Mid-level
- Office
- Free parking
- Disability insurance
Quick Apply
Property Accountant
Block Multifamily Group —Lenexa, KS
- $60,000 - $70,000 a year
- Full-time
- CPA
- Mid-level
- Office
Quick Apply
4d
AVP, Senior Reserving Actuary
SCOR —New York, NY
- $162,500 - $239,000 a year
- Hybrid work
- 5 years
- Office
- SQL
- Paid holidays
- Disability insurance
Manager Systems Engineering 2
Northrop Grumman —Melbourne, FL
- $139,100 - $208,700 a year
- Overtime
- 7 years
- Computer Science
- Office
- Paid holidays
- Disability insurance
Revenue Cycle Director
River Hills Community Health Center —Ottumwa, IA
- Full-time
- HIPAA
- Finance
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
Home Performance Training Participant
WORK TRAINING PROGRAM —Lovelock, NV
- $1 - $100 a day
- Hybrid work
- 18 years or older
- In-person
- Internship
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13d
Controller
Dhillon Healthcare Group —Salida, CA
- $90,000 - $130,000 a year
- Full-time
- CPA
- 5 years
- Word processing
Quick Apply
13d
Controller (Consulting Manager)
Insero Advisors, LLC —Rochester, NY
- $92,000 - $115,000 a year
- Full-time
- Hybrid work
- CPA
- Office
- Analysis skills
- Health savings account
- Paid holidays
Quick Apply
Risk Adjustment Coding Auditor
Clever Care Health Plan —Huntington Beach, CA
- $72,800 - $80,000 a year
- Full-time
- Hybrid work
- Background check
- Nursing
- Microsoft Excel
6d
Internal Audit Manager
Steamship Authority —Falmouth, MA
- $89,700 - $115,650 a year
- Full-time
- Background check
- Management
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Controller
recruitAbility —Austin, TX
- $150,000 - $170,000 a year
- Full-time
- CPA
- ERP systems
- Research
- Health insurance
- Dental insurance
5d
Staff Accountant
Celebrating Life Community Health Center —Mission Viejo, CA
- $30 - $38 an hour
- Full-time
- Background check
- Microsoft Excel
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
5d
Controller - Mountain West District
Aramark —Fresno, CA
- $80,000 - $95,000 a year
- Management
- Finance
- Bachelor's degree
- Disability insurance
- Health insurance
Financial Services Specialist (Law Firm Experience Required)
Kent Daniels & Associates —Los Angeles, CA
- $65,000 - $80,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Paid time off
Quick Apply
Accountant - Non-Profit
Leoforce —Ormond Beach, FL
- $50,000 - $70,000 a year
- CPA
- Finance
- Bachelor's degree
Quick Apply
9d
Physician Compliance Auditor II
Baylor Scott & White Health —Remote
- $26.66 - $40.00 an hour
- Internal Medicine
- Research
- Mid-level
- Health insurance
- Tuition reimbursement
Risk Adjustment Compliance Auditor (Remote)
Alignment Healthcare USA, LLC —Orange, CA
- $64,384 - $96,577 a year
- Full-time
- Remote
- Microsoft Access
- Basic math
- HIPAA
Quick Apply
Professional Fee Coding Auditor
Managed Resources, Inc (MRI) —Remote
- $28 - $32 an hour
- Full-time
- Remote
- Microsoft Word
- 5 years
- HIPAA
- Paid holidays
- Health insurance

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Coding and Compliance Auditor

South Shore Health -
Weymouth, MA

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Job Details

Full-time
$73,000 - $104,400 a year

Qualifications

Medical coding experience in outpatient clinics
Medical coding for surgical records
Health information management
Acute care experience

Full Job Description

Job Description Summary

The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements. This is a hybrid position: 2 days onsite; 3 days remote option.

Job Description

Job Responsibilities:

Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process.

Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes.
Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection.
Analyzes data to identify deficiencies, prepare reports to deliver provider education specific to training needs identified during audit.
Develop and monitor follow-up audits and education as determined necessary to improve documentation quality.

Support all departments of the Health System with coding guidance:

Pertaining to compliance training / education as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional, surgical and Home Health divisions of the Health System to ensure accuracy and support program objectives.
Designs training programs around compliant coding and billing from a regulatory standpoint for any new initiatives or programs affecting the Health System.
Evaluates vendor-training materials for its application or recommendation for use in educational programs.

Maintains:

Knowledge of all State and Federal regulatory changes that impact the Health System
Revises/modifies any instructional tools as necessary based on any changes to State and Federal regulatory changes to ensure guidance and training are accurate.
Assists in the development of follow-up mechanisms to ensure that knowledge and/or skills learned in the training are being applied on the job and have an impact on staff performance in meeting organizational goals.
Reports on program effectiveness and documents necessary changes.

Self Development:

Participates in professional societies or organizations relevant to ICD-9-CM, ICD-10-CM, PCS and CPT.
Maintains necessary licensure required for employment.

Administrative Duties:

Assists with administering programs as assigned.
Attends and participates in organization-wide committees as assigned.
Performs additional related duties as required.
Designs, develops and delivers education and training programs that meet the staff’s needs for compliant coding and billing.
Plans and develops curriculum in accordance with the organization’s strategic goals, mission and business strategies to improve employee performance leading to quality data and accuracy.

JOB REQUIREMENTS

Minimum Education - Preferred

Associates or Bachelor’s degree in Health Information Management.

Minimum Work Experience

Minimum 5 years acute care coding with demonstrated expertise in ICD-9-CM, ICD-10-CM, PCS and CPT coding.
Experience, preferred, in adult and continuing education, organizational development and training.

Required Certifications

CCA - Certified Coding Associate (AHIMA-American Health Information Management Assoc) or

CCS - Certified Coding Specialist (AHIMA-American Health Information Management Assoc) or

CCS-P - Certified Coding Specialist-Physican Based (AHIMA-American Health Information Management Assoc) or

CPC - Certified Professional Coder (AAPC-American Academy of Professional Coders) or

CPMA -Certified Professional Medical Auditor (AAPC-Academy of Professional Coders) or

RHIA - Registered Health Information Administrator (AHIMA-American Health Information Management Association)

Required additional Knowledge and Abilities:

Interact with constituents who have competing priorities and effectively communicate the importance of compliance in a respectful yet authoritative manner.

Apply Now

Refine Your Search

auditor p jobs

Coding and Compliance Auditor

Accounting Manager

Client Services Regional Coordinator

Property Accountant

AVP, Senior Reserving Actuary

Manager Systems Engineering 2

Revenue Cycle Director

Home Performance Training Participant

Controller

Controller (Consulting Manager)

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Internal Audit Manager

Controller

Staff Accountant

Controller - Mountain West District

Financial Services Specialist (Law Firm Experience Required)

Accountant - Non-Profit

Physician Compliance Auditor II

Risk Adjustment Compliance Auditor (Remote)

Professional Fee Coding Auditor

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