Conduct internal and external quality audits focused on ICD-10 code abstraction and clinical documentation improvement. Manage daily risk adjustment operations, including medical record reviews and reporting audit trends to leadership.
Remote Auditor Jobs (518)
Search = auditor
Lead and participate in all phases of supplier management system audits focusing on social, environmental, quality, and security programs. Manage the full audit lifecycle, from planning and site evaluation to reporting non-compliances and mentoring new auditors.
Perform independent clinical reviews of short-term and long-term disability claims to ensure clinical appropriateness and policy consistency. Document evidence-based findings and provide professional recommendations to adjudicators and medical directors.
Senior Accountant / Auditor – AI Trainer - Freelance - 8-20 hrs/week - Remote
10x Team
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Full Time
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10 Weeks Ago
10x Team
Review and refine AI-generated financial outputs to ensure accuracy, practicality, and compliance with real-world accounting standards. Draft realistic accounting and audit scenarios to improve the reasoning capabilities of AI models.
Retail Food Safety Auditor - Boston, MA
NSF International
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Full Time
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10 Weeks Ago
NSF International
Conduct food safety audits for restaurants, bars, and grocery stores in the Boston area to ensure adherence to specific standards. Educate foodservice personnel on safety protocols to protect human and planet health.
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Auditor II, Quality Assurance
Velocity Clinical Research, Inc.
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Full Time
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10 Weeks Ago
Velocity Clinical Research, Inc.
The Auditor is responsible for planning and executing GCP audits, including investigator site and vendor audits, to ensure quality across the organization. They will also manage CAPA processes, provide regulatory guidance, and assist in the creation of procedural documents.
Perform medical claim audits to identify overpayments by reviewing billing, coding policies, and regulatory requirements. Collaborate with AI teams to translate clinical and regulatory needs into audit models and deterministic logic.
The DRG Validation Auditor reviews inpatient claims and medical records to ensure DRG accuracy based on coding conventions and guidelines. They are responsible for writing clear rationales for audit determinations and identifying new audit concepts to improve payment integrity.
Lead and execute channel partner and general audit projects to ensure regulatory compliance and operational integrity. Manage end-to-end audit documentation and communicate key risks and recommendations to stakeholders.
Performs internal auditing and physician education to ensure ethical reimbursement and compliance with coding guidelines. Manages audit queries and liaises with external auditors for corporate audits.
Audit and evaluate chatbot conversations based on naturalness, utility, and audio quality. Use a proprietary platform to ensure AI-driven communication meets specific project guidelines.
Audit and evaluate chatbot conversations based on naturalness, utility, and audio quality. Use a proprietary platform to ensure AI-driven communication meets specific project guidelines.
Perform premium audits on various exposure types using a technology-enabled proprietary platform. Utilize predictive modeling and machine learning tools to identify policy misclassifications and optimize audit methods.
Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in reimbursement and identify overpayments. Create well-supported audit findings based on AHA Coding Clinic Guidelines and ICD-10 regulations.
Audit UB-04 facility claims to ensure accurate APC assignment, proper packaging, and compliant facility billing. Focus on analyzing APC groupings, status indicators, and payment logic across infusion, surgery, and radiology services.
Conduct ethical and manufacturing audits of supplier sites to ensure compliance with international standards and client procedures. Identify violations regarding labor rights, health, and safety, and document findings in detailed reports.
The Chief Auditor will design and lead an independent, risk-based global internal audit function to provide assurance on risk management and governance. This includes overseeing audit coverage for AML/KYC, digital asset custody, and coordinating with external auditors for regulatory readiness.
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Lead day-to-day activities for SOC 2 and IT compliance engagements, including ITGC and application control testing. Guide junior team members and maintain strong client relationships through proactive communication and remediation recommendations.
Conduct ethical and manufacturing audits at supplier sites to ensure compliance with international standards and client procedures. Identify violations and document findings in detailed reports for clients.
Conduct ethical and manufacturing audits of supplier sites to ensure compliance with international standards and client procedures. Identify violations and document findings in detailed reports for clients.
Conduct ethical and manufacturing audits at supplier sites to ensure compliance with international standards and client procedures. Document findings in detailed reports regarding labor rights, health, safety, and environmental security.
Conduct ethical and manufacturing audits at supplier sites to ensure compliance with international standards and client procedures. Identify violations and provide detailed reports on labor rights, health, safety, and environmental security.
The role involves performing quality audits and supporting the Global Sourcing Organization in maintaining a robust supply chain. The auditor ensures that medical and surgical supplies meet quality standards through collaboration with global suppliers.
Physician Practice E&M Auditor Educator, BHMG Auditing & Coding, FT, 8A-4:30P
Baptist Health South Florida
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Full Time
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12 Weeks Ago
Baptist Health South Florida
Perform comprehensive audits of physician and clinical fees to ensure coding integrity, medical necessity, and compliance with federal guidelines. Develop and lead educational curriculums and webinars for providers based on audit trends and regulatory changes.
The role involves conducting thorough audits of financial records to ensure accuracy and regulatory compliance. The auditor will identify risks, collaborate with teams to implement corrective actions, and prepare comprehensive reports for management.
Lead the independent testing of business process SOX controls across revenue, financial close, and treasury functions. Develop testing programs and workpapers while validating the remediation of material weaknesses and significant deficiencies.
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Lead the independent testing of IT general and application controls across the SOX program to ensure design and operating effectiveness. This includes documenting testing procedures, validating remediation of findings, and reporting results to the Audit Committee and external auditors.
4C Integrity Auditor (Freelancer) - Regional focus East and West Africa, Asia, or Latin America
4C Services GmbH
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Full Time
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13 Weeks Ago
4C Services GmbH
Conduct integrity assessments for 4C certified units, intermediaries, and buyers with a focus on traceability, social issues, and environmental conservation. Provide general support to system users and contribute to the continuous development of the 4C Integrity Program.
4C Integrity Auditor (Freelancer) - Regional focus East and West Africa, Asia, or Latin America
4C Services GmbH
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Full Time
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13 Weeks Ago
4C Services GmbH
Conduct integrity assessments for 4C certified units and buyers, focusing on traceability, social issues, and environmental conservation. Provide general support to system users and contribute to the development of the 4C Integrity Program.
Conduct on-site audits of factories to ensure compliance with labor, safety, and sustainability standards. Prepare professional audit reports and collaborate with facility management to implement corrective actions and continuous improvement.
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