Plan, implement, and manage audit investigations to support complex litigation for the U.S. Department of Justice. Analyze corporate financial statements and provide progress reports and recommendations to Trial Staff and the COR.
Remote Auditor Jobs (542)
Search = auditor
The auditor is responsible for auditing inpatient and outpatient medical records to ensure accurate reimbursement and compliance with federal and state regulations. They also serve as a subject matter expert, providing training and communication support between coding and clinical documentation teams.
The Nurse Coding Auditor validates the accuracy of CPT, HCPCS, and revenue codes on inpatient and outpatient facility claims. They perform hospital bill audits and itemized bill reviews to ensure services are appropriately documented and billed according to CMS guidelines.
The Senior GCP Auditor ensures compliance with GCP standards, SOPs, and FDA regulations through internal and vendor audits. They are responsible for maintaining the Quality Management System and ensuring constant inspection readiness for clinical trials.
Aerospace Auditor (AS9100) - 3rd Party - Mexico
NSF International
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Full Time
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8 hours ago
NSF International
The auditor is responsible for managing, planning, and executing all phases of 3rd party AS9100 audits for aerospace clients. This includes ensuring compliance with applicable standards and maintaining effective communication with external clients and internal project managers.
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The Senior Internal Auditor evaluates the efficiency and effectiveness of operational processes by leading audit engagements and performing detailed reviews. They identify process gaps, recommend improvements, and collaborate with business partners to remediate outstanding issues.
The role involves auditing and processing stop loss claims, verifying benefit payments, and preparing written rationales for claim decisions. Additionally, the auditor manages claim reserves, handles customer inquiries, and ensures compliance with reporting requirements.
Independent Contractor - Integrated Lead Auditor - ISR (East Coast)
NSF International
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Full Time
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9 hours ago
NSF International
The Lead Auditor is responsible for conducting integrated management system audits and communicating effectively with external clients and internal account managers. The role involves extensive travel to client sites to ensure compliance and performance improvements.
Responsible for auditing coders and other auditors to ensure a minimum coding accuracy of 95% for ambulatory and professional accounts. The role involves performing quality checks, conducting calibration audits, and providing feedback to improve coding standards and compliance.
Provides audit support for risk adjustment activities by developing controls to minimize financial risks and losses. Manages data validation, monitors RAPS and EDPS transmissions, and ensures compliance with CMS regulations.
Senior Stop Loss Claims Auditor
BlueCross BlueShield of South Carolina
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Full Time
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11 hours ago
BlueCross BlueShield of South Carolina
Audit and authorize reimbursement for medical stop loss claims while identifying cost mitigation and subrogation opportunities. Maintain claims system reports and provide training and internal auditing for other claims auditors.
Coding Auditor
Virginia Mason Medical Center
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Full Time
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13 hours ago
Virginia Mason Medical Center
The Coding Auditor ensures accurate reimbursement by resolving medical coding claim defects and researching denials before billing. They play a key role in optimizing the revenue cycle and maintaining financial integrity for the health system.
State Tax Auditor (Northern Virginia Region)
Virginia Information Technologies Agency
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Full Time
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14 hours ago
Virginia Information Technologies Agency
Conduct audits on businesses to ensure compliance with Virginia state tax laws, specifically focusing on Sales and Use Tax. Develop assessments, educate taxpayers, and ensure the correct collection and remittance of taxes to the Commonwealth.
State Tax Auditor (Eastern Virginia Region)
Virginia Information Technologies Agency
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Full Time
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14 hours ago
Virginia Information Technologies Agency
Conduct audits on businesses to ensure compliance with Virginia state tax laws, specifically focusing on Sales and Use Tax. Develop assessments, educate taxpayers, and ensure the correct collection and remittance of taxes to the Commonwealth.
Auditor, Controls & Compliance
Activision Blizzard, Inc.
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Full Time
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14 hours ago
Activision Blizzard, Inc.
The role involves executing design and operating effectiveness testing for business and IT processes to ensure SOX compliance. It also focuses on improving control monitoring through the application of data analytics, automation, and AI tools.
Perform clinical chart reviews to ensure documentation accuracy and apply clinical criteria for diagnosing medical conditions. Collaborate with providers to improve documentation quality through the query process and deliver educational sessions on Medicare risk adjustment.
Perform clinical chart reviews to ensure documentation accuracy and apply clinical criteria for diagnosing medical conditions. Collaborate with providers to improve documentation quality through the query process and deliver educational sessions on Medicare risk adjustment.
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Coding Auditor
Virginia Mason Medical Center
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Full Time
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16 hours ago
Virginia Mason Medical Center
The Coding Auditor ensures accurate reimbursement by resolving medical coding claim defects and researching denials before billing. They optimize the revenue cycle and maintain financial integrity through meticulous review and expert guidance on corrections.
Conduct clinical coding audits for outpatient and professional fee charts to ensure compliance with national standards. Provide mentorship, training, and educational feedback to internal coding staff to improve accuracy and quality.
The role involves conducting food safety and quality audits to evaluate supplier compliance with GFSI standards. Responsibilities include producing detailed audit reports and investigating product failures to verify corrective actions.
The role involves conducting food safety and quality audits of suppliers to ensure compliance with GFSI benchmarked standards. Responsibilities include producing detailed audit reports and investigating product failures to verify corrective actions.
Auditor Clinical Validation Outpatient Specialty Clinical
Cotiviti
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Full Time
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23 hours ago
Cotiviti
Perform clinical and coding audits for outpatient and specialty claims to ensure accuracy, medical necessity, and appropriateness of treatment. Document audit results and suggest process improvements to enhance recovery and client satisfaction.
Responsible for auditing inpatient coders and offshore auditors to ensure a minimum of 95% coding and DRG accuracy. The role involves performing quality checks, conducting calibration audits, and presenting findings to leadership to improve clinical outcomes and reimbursement.
The Senior Auditor plans and executes comprehensive internal audits and special projects to ensure operational and financial integrity. They are responsible for identifying control weaknesses and collaborating with leadership to implement corrective action plans.
Independent Contractor Retail Food Safety Auditor - Saskatchewan
NSF International
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Full Time
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Yesterday
NSF International
Conduct food safety audits for restaurants, bars, and grocery stores to ensure adherence to specific standards. Educate foodservice personnel on safety protocols while traveling to various business locations.
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Conduct quality control audits of mortgage loan originations and servicing activities to ensure compliance with company, investor, and regulatory guidelines. Analyze audit results to identify trends and prepare actionable reports for continuous process improvement.
Quality Auditor - Modular Structures
PFS TECO An NFPA Global Solutions Company
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Full Time
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Yesterday
PFS TECO An NFPA Global Solutions Company
Conduct comprehensive quality assurance audits at manufacturing facilities to ensure compliance with building codes and certification procedures. Identify construction defects and process deficiencies while recommending corrective actions to manufacturer management.
Perform IT audits to ensure compliance with external regulations and internal policies while communicating findings to stakeholders. Collaborate with IT teams to develop audit objectives, execute risk-based technology reviews, and monitor remediation plans.
Billing Compliance Auditor (Law Firm Experience Required)
Tyson & Mendes LLP
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Full Time
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Yesterday
Tyson & Mendes LLP
Conduct front-end pre-bill audits for insurance defense matters to ensure compliance with carrier guidelines and UTBMS codes. Communicate with legal staff to resolve non-compliant entries and manage the formal billing appeals process.
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