Top 262 Compliance auditor Jobs in Chamblee, Ga

Auditor, Risk Adjustment
Oscar Health —Atlanta, GA
- $82,717 - $108,566 a year
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
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Senior Auditor - Compliance
U.S. Bank National Association —Atlanta, GA
- $92,820 - $109,200 a year
- Full-time
- 5 years
- Office
- Finance
- Paid holidays
- Disability insurance
Risk & Compliance Inquiry Specialist
VersiTech / Bold Integrated Payments / Tonic —Sandy Springs, GA
- From $50,000 a year
- Full-time
- Hybrid work
- Office
- US work authorization
- No travel
- Health savings account
- Health insurance
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Compliance Auditor - Nurse
PruittHealth —Norcross, GA
- Full-time
- Background check
- Nursing
- Microsoft Excel
Junior Compliance Officer/Auditor
SGI Global, LLC —Atlanta, GA
- 8 hour shift
- Bachelor of Science
- Research
- Finance
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Auditor
Contact Government Services, LLC —Atlanta, GA
- $50,000 - $100,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Internal Auditor
Hiscox —Atlanta, GA
- $95,000 - $110,000 a year
- Full-time
- Hybrid work
- CPA
- Office
- Senior level
- Wellness program
- Paid parental leave
Medical Coding Auditor
IN Compass Health —Alpharetta, GA
- Full-time
- 5 years
- Acute care experience
- In-person
- Health insurance
- Dental insurance
Quick Apply
Trade Compliance Specialist
Makita Corporation of America —Buford, GA
- Full-time
- Microsoft Excel
- Microsoft Outlook
- ERP systems
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Compliance Analyst
TRC Staffing —Atlanta, GA
- $65,000 - $75,000 a year
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Coding Quality Auditor
Houston Methodist —Georgia
- Full-time
- Anatomy knowledge
- English
- Mid-level
14d
Senior Compliance Analyst
Corpay —Atlanta, GA
- Full-time
- Computer Science
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Staff Auditor
Holder Construction —Vinings, GA
- Full-time
- Background check
- Construction site
- Office
- Health insurance
- Dental insurance
12d
Compliance Analyst
Intercontinental Exchange Holdings, Inc. —Atlanta, GA
- Full-time
- Microsoft Excel
- Mid-level
- Office
Internal Auditor
Georgia Lottery Corporation —Atlanta, GA
- $80,000 - $90,000 a year
- Full-time
- CPA
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Internal Auditor 2
Truist Bank —Atlanta, GA
- $63,670 - $117,400 a year
- Full-time
- Computer literacy
- English
- Mid-level
- AD&D insurance
- Paid holidays
4d
Quality Auditor
WinCup —Stone Mountain, GA
- 12 hour shift
- English
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
Cybersecurity Auditor
XTREME SOLUTIONS INC —Atlanta, GA
- Full-time
- HIPAA
- Mid-level
- Travel
- Dental insurance
- Tuition reimbursement
Warehouse Auditor
Capstone Logistics LLC —Norcross, GA
- $680 - $850 a week
- Monday to Friday
- Mid-level
- Warehouse
- Warehouse experience
- Paid training
Quick Apply
Senior Logistics Compliance Analyst
Intuitive Surgical —Peachtree Corners, GA
- $103,000 - $174,400 a year
- Day shift
- Microsoft Word
- 7 years
- Microsoft Excel
14d

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compliance auditor jobs near chamblee, ga

Auditor, Risk Adjustment

Oscar Health -
Atlanta, GA

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Job Details

$82,717 - $108,566 a year

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
Parental leave
Vision insurance
Paid sick time

Qualifications

Certified Professional Coder

Full Job Description

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Associate, Risk Adjustment Auditor conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified clinical documentation improvement opportunities. You will work with management to implement benchmarks, establish acceptable thresholds, and quality assurance programs.

You will report into the Manager, Risk Adjustment.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts.
Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported within provider encounter documentation
Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in a timely, consistent and effective manner to ensure the appropriate changes and education are implemented.
Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
Identify and execute on the creation of clinical document improvement resources for provider education in both MA and ACA line of business.
Manage the implementation process improvements that will maximize risk adjustment factor increases.
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements:

Bachelor's degree in a relevant field of study or commensurate work experience.
Certified professional coder (CPC)
3+ year(s) retrospective risk adjustment coding experience.
1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience

Bonus points:

Certified Risk Adjustment Coder (CRC) or similar certification
Experience coding in a variety of different Electronic Medical Record (EMR) systems.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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Refine Your Search

compliance auditor jobs in chamblee, ga

Auditor, Risk Adjustment

Senior Auditor - Compliance

Risk & Compliance Inquiry Specialist

Compliance Auditor - Nurse

Junior Compliance Officer/Auditor

Auditor

Internal Auditor

Medical Coding Auditor

Trade Compliance Specialist

Compliance Analyst

Coding Quality Auditor

Senior Compliance Analyst

Staff Auditor

Compliance Analyst

Internal Auditor

Internal Auditor 2

Quality Auditor

Cybersecurity Auditor

Warehouse Auditor

Senior Logistics Compliance Analyst

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