Top 143 Compliance auditor Jobs in Highlands Ranch, Co

Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
Elevance Health —Denver, CO
- $86,560 - $155,808 a year
- Contract
- RN License
- 5 years
- Continuous improvement
- Employee stock purchase plan
- Paid holidays
12d
SUE Safety and Quality Auditor
HKS Civil —Denver, CO
- $28 - $36 an hour
- Full-time
- Clean driving record
- Construction site
- Mid-level
- Wellness program
- Paid holidays
Quick Apply
8h
Temp: Manufacturing Associate/Card Auditor: Monday - Thursday 4:00am-4:00pm
CPI Card Group —Littleton, CO
- $20.50 an hour
- Temporary
- Computer literacy
- Pass drug screening
- 11+ years
- Health savings account
- Paid holidays
Project Lab Auditor (Health)
Atrium —Denver, CO
- $23 - $25 an hour
- Temporary
- Bachelor's degree
- Organizational skills
- Communication skills
- Paid training
- Health insurance
Quick Apply
Compliance Auditor
Denver Housing Authority —Denver, CO
- $78,000.26 - $97,500.74 a year
- Full-time
- Bachelor of Science
- Research
- Mid-level
- On-the-job training
Lead Compliance Internal Testing Analyst
Western Union —Denver, CO
- $90,000 - $100,000 a year
- Full-time
- Hybrid work
- Office
- Bachelor's degree
- Quality control
- Health insurance
- Dental insurance
Information Security Risk and Compliance Analyst
Sunflower Bank NA —Denver, CO
- $65,000 - $75,000 a year
- Online Application
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
- Paid holidays
- Dental insurance
Quick Apply
Internal Auditor
Advanced Energy Industries, Inc. —Denver, CO
- $70,000 - $110,000 a year
- Email
- Bachelor of Science
- Research
- Office
- Paid parental leave
- Employee stock purchase plan
6d
Internal Auditor Sr
UCHealth —Aurora, CO
- $38.72 - $58.08 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
- 403(b) matching
- Health savings account
Revenue Recovery Auditor
UCHealth —Denver, CO
- $31.61 - $47.41 an hour
- Full-time
- RN License
- Hospital
- 5 years
- 403(b) matching
- Health savings account
7d
Tax Auditor I
City of Lakewood, CO —Lakewood, CO
- $69,597.30 - $90,437.78 a year
- Full-time
- Customer service
- Basic math
- Office
5d
Staff Internal Auditor
Century Communities —Greenwood Village, CO
- $70,000 - $80,000 a year
- Hybrid work
- Office
- Analysis skills
- GAAP
- Health insurance
- Dental insurance
Specialist, Risk and Compliance Services (Onboarding)
Deloitte —Denver, CO
- $63,000 - $116,000 a year
- Full-time
- Microsoft Word
- Mid-level
- 3 years
Night Auditor
The Inverness Denver —Englewood, CO
- $23 - $24 an hour
- Full-time
- English
- Mid-level
- Hotel
- Employee discount
- Flexible schedule
Quick Apply
7d
Nursing Quality Assurance Auditor - LPN
Option Care Enterprises, Inc. —Denver, CO
- $57,187.58 - $95,312.63 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health savings account
- Health insurance
Quick Apply
6d
Compliance Historian/Historic Preservation Specialist
State of Colorado —Denver, CO
- $76,860 - $84,540 a year
- Online Application
- Hybrid work
- Microsoft Excel
- 6 years
- Mid-level
- Health savings account
- Disability insurance
5d
Senior Internal Auditor
EchoStar —Englewood, CO
- $72,350 - $103,400 a year
- Full-time
- Microsoft Excel
- CPA
- Pass drug screening
- Health savings account
- Employee stock purchase plan
Analyst, AML Compliance
Western Union —Denver, CO
- Full-time
- Research
- Mid-level
- Analysis skills
8h
Compliance Specialist I - DORA: PUC Hybrid
State of Colorado —Denver, CO
- $4,076 - $4,483 a month
- Online Application
- Hybrid work
- Background check
- Spanish
- Doctoral degree
- Paid holidays
- Disability insurance
6d
Staff Internal Auditor
Century Communities, Inc. —Denver, CO
- $70,000 - $80,000 a year
- Hybrid work
- Office
- Analysis skills
- GAAP
- Health insurance
- Dental insurance
Quick Apply

I want to receive the latest job alert for compliance auditor in highlands ranch, co

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

compliance auditor jobs near highlands ranch, co

Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)

Elevance Health -
Denver, CO

Apply Now

Job Details

Contract
$86,560 - $155,808 a year
12 days ago

Benefits

Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

RN License
DRG

Full Job Description

Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)

Anticipated Job Posting End Date: 8/28/2026

Virtual: This role enables associates to work virtually full-time, with the exception of required inperson training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Diagnosis Related Group Clinical Validation Auditor-RN is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims.

How you will make an impact:

Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities.
Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions.
Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate detailed audit findings letters.
Maintains accuracy and quality standards as established by audit management.
Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs).
Suggests and develops high quality, high value, concept and or process improvement and efficiency recommendations.

Minimum Requirements:

Requires current, active, unrestricted Registered Nurse license in applicable state(s).
Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC.
Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred.
Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $86,560 to $155,808

Locations: California; Colorado, Illinois, Maryland, Minnesota, Nevada; New York; Washington State

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

compliance auditor jobs in highlands ranch, co

Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)

SUE Safety and Quality Auditor

Temp: Manufacturing Associate/Card Auditor: Monday - Thursday 4:00am-4:00pm

Project Lab Auditor (Health)

Compliance Auditor

Lead Compliance Internal Testing Analyst

Information Security Risk and Compliance Analyst

Internal Auditor

Internal Auditor Sr

Revenue Recovery Auditor

Tax Auditor I

Staff Internal Auditor

Specialist, Risk and Compliance Services (Onboarding)

Night Auditor

Nursing Quality Assurance Auditor - LPN

Compliance Historian/Historic Preservation Specialist

Senior Internal Auditor

Analyst, AML Compliance

Compliance Specialist I - DORA: PUC Hybrid

Staff Internal Auditor

I want to receive the latest job alert for compliance auditor in highlands ranch, co

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected