Top 316 Compliance auditor Jobs in Boston, Ma

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
Auditor
Cambridge Savings Bank —Waltham, MA
- $70,000 - $100,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- Computer literacy
- Mid-level
- Health insurance
- 401(k) matching
Quick Apply
Compliance Specialist
The Schochet Companies —Cambridge, MA
- $28 an hour
- Email
- Background check
- Microsoft Excel
- Customer service
- Paid holidays
- Health insurance
Quick Apply
REMOTE EST HOURS - Lead Investment Compliance Systems Analyst - Regulatory Compliance, Guideline Monitoring, Data Governance
Yoh, A Day & Zimmermann Company —Boston, MA
- $65 - $85 an hour
- Contract
- Remote
- 5 years
- SQL
- Fair chance
- Health savings account
- Disability insurance
Quick Apply
1d
Lead Compliance Systems/Data Analyst - Remote
Yoh, A Day & Zimmermann Company —Boston, MA
- $56 - $80 an hour
- Contract
- Remote
- 5 years
- SQL
- Fair chance
- Health savings account
- Disability insurance
Quick Apply
Compliance & Reporting Analyst (NIBRS)
Mark43 —Boston, MA
- Remote
- Mid-level
- Continuous improvement
- Travel
Quick Apply
14d
Senior Security Compliance Analyst
OneStudyTeam —Boston, MA
- $110,000 - $140,000 a year
- Remote
- Computer science
- Computer Science
- Pass drug screening
Quick Apply
Inventory Auditor
Costco Wholesale Corporation —Everett, MA
- Research
- Mid-level
- Driving
- AD&D insurance
- Employee stock purchase plan
Sr. Quality Specialist, GxP Document Control
Bicara Therapeutics —Boston, MA
- $105,000 - $128,000 a year
- Full-time
- Hybrid work
- 5 years
- Bachelor's degree
- Training & development
GMP Operational Quality Senior Specialist (Stability)
Vertex Pharmaceuticals —Boston, MA
- $94,200 - $141,200 a year
- Full-time
- Hybrid work
- 3 years
- Bachelor's degree
- Organizational skills
- Loan repayment program
- Dental insurance
Sr Quality Assurance Documentation Specialist
Candel Therapeutics —Needham, MA
- $88,000 - $100,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- 6 years
- Microsoft Outlook
9d
Auditor
Contact Government Services, LLC —Boston, MA
- $50,000 - $100,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Compliance Reporting Analyst
MFS Investment Management —Boston, MA
- $55,500 - $80,500 a year
- Full-time
- Hybrid work
- Mid-level
- Finance
- Bachelor's degree
- Commuter assistance
- Health savings account
3d
Pharmacy Network Auditor
RxSense —Boston, MA
- $74,000 - $110,000 a year
- Remote
- Microsoft Word
- 5 years
- Research
Quick Apply
Analyst, Medicare Compliance
Blue Cross Blue Shield of Massachusetts —Hingham, MA
- $72,630 - $88,770 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Alcohol Compliance Auditor
DATA QUEST INVESTIGATIONS LTD —Cambridge, MA
- $20 - $200 a month
- Part-time
- Hospitality
- Bar
- In-person
Quick Apply
Night Auditor
Courtyard Boston Cambridge —Cambridge, MA
- $31 - $33 an hour
- Overnight shift
- Computer literacy
- Mid-level
- Hotel
- Employee discount
Senior Quality Engineer
Verify —Boston, MA
- $55 - $60 an hour
- Full-time
- Background check
- Mid-level
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
Audit Associate (CPA Firm)
Roselli, Clark & Associates, CPAs —Woburn, MA
- $70,000 - $75,000 a year
- Full-time
- CPA
- Writing skills
- Data analysis skills
- Mileage reimbursement
- Health insurance
Quick Apply
3d
Lead Specialist, International Trade Compliance
GE Aerospace —Lynn, MA
- $112,000 - $149,000 a year
- Full-time
- Pass drug screening
- Mid-level
- High school diploma or GED
- Paid parental leave
- Disability insurance

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compliance auditor jobs near boston, ma

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

compliance auditor jobs in boston, ma

Coding and Compliance Auditor

Auditor

Compliance Specialist

REMOTE EST HOURS - Lead Investment Compliance Systems Analyst - Regulatory Compliance, Guideline Monitoring, Data Governance

Lead Compliance Systems/Data Analyst - Remote

Compliance & Reporting Analyst (NIBRS)

Senior Security Compliance Analyst

Inventory Auditor

Sr. Quality Specialist, GxP Document Control

GMP Operational Quality Senior Specialist (Stability)

Sr Quality Assurance Documentation Specialist

Auditor

Compliance Reporting Analyst

Pharmacy Network Auditor

Analyst, Medicare Compliance

Alcohol Compliance Auditor

Night Auditor

Senior Quality Engineer

Audit Associate (CPA Firm)

Lead Specialist, International Trade Compliance

I want to receive the latest job alert for compliance auditor in boston, ma

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