Top 136 Compliance auditor Jobs in Iowa

Coding Auditor
ClaimDOC —West Des Moines, IA
- Full-time
- Hybrid work
- Research
- Office
- Organizational skills
- Paid holidays
- Health insurance
Quick Apply
8d
Night Auditor
Fairfield by Marriott —Decorah, IA
- From $16 an hour
- Part-time
- Hospitality
- Customer service
- Hotel
- Employee discount
- Flexible schedule
Quick Apply
Premium Auditor
Davies Risk Services —Magnolia, IA
- Choose your own hours
- Microsoft Outlook
- No experience needed
- Analysis skills
Quick Apply
Energy Auditor - IPERS
Community Action Agency of Siouxland —Sioux City, IA
- From $27.88 an hour
- Full-time
- Background check
- Clean driving record
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
7d
Auditor (Public Accounting)
MHCS —West Des Moines, IA
- Full-time
- Management
- CPA
- Mid-level
- Health insurance
- 401(k)
Quick Apply
Compliance Specialist - Affordable Housing
Indigo Living —West Des Moines, IA
- $19 - $24 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health savings account
- Paid holidays
Quick Apply
Front Desk/Night Auditor
Sleep Inn/Mainstay Suites —Waukee, IA
- $14 - $16 an hour
- Weekends as needed
- Customer service
- Office
- Microsoft Office
- Free parking
- On-the-job training
Quick Apply
Guest Service Representative/Night Auditor
Homewood Suites by Hilton —Des Moines, IA
- $15 - $18 an hour
- Part-time
- Hotel
- In-person
- 1 year
- Health insurance
- Paid time off
Quick Apply
4d
Auditor/Investigator II
Qlarant —Iowa
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Senior. Medicaid Proposal Quality Analyst -Remote
CVS Health —Iowa
- $67,900 - $182,549 a year
- Extended hours
- Remote
- Microsoft Excel
- Bachelor's degree
- Travel
- Health insurance
- Dental insurance
UI Staff Auditor - Iowa Board of Regents
University of Northern Iowa —Cedar Falls, IA
- $55,000 - $70,000 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
Compliance Risk Auditor
The University of Iowa —Iowa City, IA
- Full-time
- Hybrid work
- Microsoft Excel
- Research
- Mid-level
Internal Auditor II
Jack Henry —Cedar Falls, IA
- $48,350 - $78,000 a year
- Full-time
- Hybrid work
- CPA
- PMP
- Research
1d
Internal Auditor II
Bankers Trust Company —Des Moines, IA
- $66,000 - $78,000 a year
- Full-time
- Hybrid work
- CPA
- Writing skills
- Mid-level
- Paid parental leave
- Health insurance
Compliance & Privacy Analyst (Full-Time)
The Iowa Clinic —West Des Moines, IA
- Full-time
- HIPAA
- Mid-level
- Clinic
- Profit sharing
- Wellness program
Payment Auditor
IOWA SPECIALTY HOSPITAL —Clarion, IA
- Full-time
- Entry level
- Health savings account
- AD&D insurance
Quick Apply
Internal Auditor
HNI Corporation —Davenport, IA
- Full-time
- CPA
- Mid-level
- Office
- Opportunities for advancement
10d
Senior Auditor
Federal Home Loan Bank of Des Moines —Des Moines, IA
- $90,000 - $110,000 a year
- Full-time
- Hybrid work
- CPA
- Word processing
- Finance
- Paid holidays
- 401(k)
Senior Auditor
Iowa State University —Iowa City, IA
- From $70,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- CPA
Auditor/Auditor II
MidAmerican Energy Company —Des Moines, IA
- Full-time
- CPA
- Mid-level
- Finance
10d

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compliance auditor jobs near iowa

Coding Auditor

ClaimDOC -
West Des Moines, IA

Quick Apply

Job Details

Full-time
8 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
Professional development assistance
Life insurance

Qualifications

Medicare
Medical coding
AHIMA
Medicare regulations
Medical billing
AAPC Practicode

Full Job Description

Position: Coding Auditor

Location: West Des Moines, IA

Job Type: Full-time - Hybrid

ClaimDOC is hiring a Coding Auditor, which is a full-time hybrid position (2-3 days in office). ClaimDOC is a national medical claim auditing and member advocacy company driven to deliver a successful and sustainable health plan for employers and their employees. We are a rapidly growing company based in West Des Moines, Iowa, and we are seeking individuals who are innovative and motivated to join our team and mission.

Job Summary

The Coding Auditor will be responsible for reviewing, auditing and repricing medical facility and professional claims for accuracy and compliance with industry laws and contractual language on behalf of clients. Candidates must possess a strong understanding of Medicare pricing methodology as described below. The ideal candidate must display a high degree of independent judgment and professional discernment that enhances the work performed in order to achieve success in this position.

Please note: This position is hybrid — typically 2-3 days in the West Des Moines office and the other days working remotely.

Essential Duties and Responsibilities

Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.).
Responsible for adjudicating claims to maintain/comply with client contracts and plan documentation.
Determine accurate payment criteria for clearing pending claims based on defined policies and procedures.
Identify claim(s) with inaccurate data or claims that require review by appropriate team members.
Maintain quality standards and aging timeframes.
Contribute positively as a team player.
Comply with all departmental and company policies and procedures.
Research unclear and unusual claims.
Complete other tasks as assigned.

Qualifications

Current AAPC or AHIMA coding certification required or actively working toward certification.
5+ years’ experience, preferred, in an auditing, billing or coding role that requires vast knowledge of medical coding and/or Medicare pricing methodology in the inpatient, outpatient or provider setting.
Knowledge of health insurance, HMO and managed care principles, including provider reimbursement methodologies, such as case rates, global rates, per diems, percentage discounts, usual and customary fee schedules, RVU- and RBRVS-based fee schedules, and health plan-specific schedules.
Experience in health plan operations and an understanding of insurance claims processing desired.
Insurance claims or managed care environment preferred.
Ability to work independently and in a team environment.
Integrity and discretion to maintain confidentiality of members, employee and physician data.
Excellent interpersonal, oral and written communication skills.
Strong attention to detail and organization.
Strong analytic skills.
Flexibility and ability to multitask in a fast-paced environment.
Strong computer skills.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. ClaimDOC Is a drug- and tobacco-free workplace.

ClaimDOC offers competitive pay and rich benefits, including medical, dental, vision and life insurance, and sponsors a 401(k) and FSA. The candidate will also earn paid time off and paid holidays as a full-time employee.

Job Type: Full-time

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Professional development assistance
Vision insurance

Ability to Commute:

West Des Moines, IA 50266 (Required)

Work Location: Hybrid remote in West Des Moines, IA 50266

Quick Apply

Refine Your Search

compliance auditor jobs in iowa

Coding Auditor

Night Auditor

Premium Auditor

Energy Auditor - IPERS

Auditor (Public Accounting)

Compliance Specialist - Affordable Housing

Front Desk/Night Auditor

Guest Service Representative/Night Auditor

Auditor/Investigator II

Senior. Medicaid Proposal Quality Analyst -Remote

UI Staff Auditor - Iowa Board of Regents

Compliance Risk Auditor

Internal Auditor II

Internal Auditor II

Compliance & Privacy Analyst (Full-Time)

Payment Auditor

Internal Auditor

Senior Auditor

Senior Auditor

Auditor/Auditor II

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