Top 313 Auditor Jobs in Massachusetts

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
FBI Special Agent: CPA/Accounting/Finance Expertise
Federal Bureau of Investigation —Boston, MA
- $103,263 - $133,200 a year
- Full-time
- Doctoral degree
- CPA
- Master's degree
Home Energy Auditor
Revise —Northampton, MA
- $65,000 - $200,000 a year
- Multiple hires
- Computer literacy
- Pass drug screening
- Residential
- Health insurance
- Dental insurance
Quick Apply
Senior Operational Auditor – (Capital Projects, Supply Chain & Inventory)
KBW Financial Staffing & Recruiting —Wilmington, MA
- $120,000 - $145,000 a year
- Hybrid work
- CPA
- 5 years
- Bachelor of Science
Quick Apply
Audit Manager
Distinct Recruitment —West Springfield, MA
- $120,000 - $150,000 a year
- Full-time
- Hybrid work
- CPA
- Mid-level
- Office
- Profit sharing
- Health insurance
Quick Apply
Medical Program Auditor/ Analyst
University of Massachusetts Medical School —Westborough, MA
- $80,000 - $95,000 a year
- Full-time
- Microsoft Excel
- Customer service
- Mid-level
Pharmacy Network Auditor
RxSense —Boston, MA
- $74,000 - $110,000 a year
- Remote
- Microsoft Word
- 5 years
- Research
Quick Apply
Inventory Auditor
Costco Wholesale Corporation —Everett, MA
- Research
- Mid-level
- Driving
- AD&D insurance
- Employee stock purchase plan
Internal Auditor, Corporate Compliance Billing & Coding (Hybrid)
Cape Cod Healthcare —Hyannis, MA
- $87,000 - $125,000 a year
- Weekends as needed
- 5 years
- English
- Mid-level
14d
Auditor/Investigator II
Qlarant —Massachusetts
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Healthcare Audit Analyst (Remote)
Cape Cod Healthcare —Hyannis, MA
- Weekends as needed
- Remote
- Microsoft Outlook
- Data analysis skills
- Mid-level
14d
Coding Data Quality Auditor
CVS Health —Massachusetts
- $18.50 - $38.82 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Fair chance
- Health insurance
- Dental insurance
7d
Medical Billing Code Auditor- Healthcare Internal Audit - Hybrid work schedule
Fallon Health —Worcester, MA
- $87,500 a year
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- 3 years
Assurance Senior
Wolf & Company, P.C. —Boston, MA
- $75,000 - $130,000 a year
- Full-time
- CPA
- Bachelor of Science
- Mid-level
- 401(k)
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
19h
Supervisor Tax Accountant
Newburg CPA —Waltham, MA
- From $115,000 a year
- Full-time
- Hybrid work
- CPA
- Research
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
Staff Accountant
The Pesce Network/Dunkin —Concord, MA
- $28 - $35 an hour
- Part-time
- Mid-level
- Office
- Continuous improvement
- Health insurance
- Dental insurance
Quick Apply
14d
Senior Tax Professional (CPA Firm)
ProPivotal —Waltham, MA
- $150,000 a year
- Full-time
- Hybrid work
- Management
- CPA
- Customer service
- AD&D insurance
- Disability insurance
Quick Apply
Senior Portfolio Accountant
The RMR Group —Newton, MA
- $95,000 - $115,000 a year
- Full-time
- CPA
- Mid-level
- Office
- Health savings account
- Disability insurance
14d
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

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Coding and Compliance Auditor

South Shore Health -
Weymouth, MA

Apply Now

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 jobs in massachusetts

Coding and Compliance Auditor

FBI Special Agent: CPA/Accounting/Finance Expertise

Home Energy Auditor

Senior Operational Auditor – (Capital Projects, Supply Chain & Inventory)

Audit Manager

Medical Program Auditor/ Analyst

Pharmacy Network Auditor

Inventory Auditor

Internal Auditor, Corporate Compliance Billing & Coding (Hybrid)

Auditor/Investigator II

Healthcare Audit Analyst (Remote)

Coding Data Quality Auditor

Medical Billing Code Auditor- Healthcare Internal Audit - Hybrid work schedule

Assurance Senior

Audit Associate (CPA Firm)

Supervisor Tax Accountant

Staff Accountant

Senior Tax Professional (CPA Firm)

Senior Portfolio Accountant

Internal Audit Manager

I want to receive the latest job alert for auditor in massachusetts

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