Review medical bills to identify billing discrepancies, coding errors, and savings opportunities. Collaborate with internal teams and clients to resolve complex claim issues and ensure regulatory compliance.
Remote Auditor Jobs (478)
Search = auditor
Investigates claims liability and processes claims according to specific policies and contracts. Responsibilities include auditing claim documents, setting reserves, and communicating with third-party administrators to resolve processing issues.
Lead internal audit engagements to assess controls, operational efficiencies, and compliance with regulatory and contractual obligations. Document and track Corrective and Preventative Actions (CAPA) while communicating findings to management and external auditors.
Provider Coding Auditor & Educator (Remote)
Anne Arundel Dermatology
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Full Time
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5 Days Ago
Anne Arundel Dermatology
The role focuses on auditing provider medical records for coding accuracy and compliance while providing ongoing education to physicians and APPs. It involves collaborating with billing specialists to resolve denials and optimizing charge capture within the ModMed system.
Prepare and review complex individual and business tax returns while ensuring compliance with US federal and state regulations. Manage multiple concurrent engagements and leverage AI tools to improve workflow efficiency and accuracy.
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Prepare and review complex individual and business tax returns while ensuring compliance with US federal and state regulations. Manage multiple concurrent engagements and leverage AI tools to improve efficiency in tax and accounting workflows.
Lead and manage audit engagements for commercial and non-profit clients from initiation to completion. Supervise junior audit staff and collaborate with the internal tax team while utilizing AI and automation tools.
Lead and manage audit engagements for commercial and non-profit clients from initiation to completion. Supervise junior audit staff and collaborate with the internal tax team in a tech-enabled environment.
Plan and execute IT audits to ensure compliance with global regulations and security frameworks. Identify security risks and collaborate with cross-functional teams to implement remediation activities.
The Revenue Cycle Auditor provides standardized and compliant revenue cycle support to help the organization meet financial objectives. This includes identifying and resolving inefficiencies in charge capture and revenue cycle processes.
Perform IT audits, cybersecurity assessments, and data protection compliance projects for large national and multinational clients. Manage teams, handle client accounts, and drive the acquisition of new business objectives.
Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, OH, MO, MI, or FL)
Northwestern Memorial Healthcare
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Full Time
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5 Days Ago
Northwestern Memorial Healthcare
The specialist audits inpatient accounts to ensure coding compliance and improves clinical documentation quality through collaboration with medical staff. They lead quality initiatives and manage complex projects such as Mortality and Hospital Acquired Condition reviews.
Responsible for coding and abstracting patient records for professional billing and reimbursement purposes. Acts as a resource for difficult coding questions and provides process improvement recommendations to management.
Lead the independent testing of business process SOX controls across revenue, financial close, and treasury functions. Validate the remediation of control deficiencies and report findings to the Audit Committee and senior leadership.
The Legal Auditor reviews law firm and vendor invoices to ensure compliance with customer-tailored billing guidelines. They collaborate with insurance defense lawyers and customers to enhance billing strategies and improve law firm practices.
Perform in-depth quality control audits and risk analysis on closed mortgage loans to detect defects and fraud. Ensure all loans comply with investor and agency guidelines while collaborating with operational departments.
The Program Integrity Auditor reviews medical and behavioral healthcare records to ensure correct coding and documentation standards are met. They identify aberrant billing patterns and potential fraud, waste, or abuse while providing technical education to providers.
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Plan and execute internal audits according to aerospace standards to ensure QMS compliance and operational performance. Manage corrective actions, issue CARs, and provide guidance to stakeholders on process improvement and audit readiness.
The auditor extracts clinical information from medical records to assign appropriate procedural terminology and medical codes. They review inpatient hospital claims for proper reimbursement and ensure correct DRG assignments to reduce costs.
Conduct comprehensive clinical audits of documentation, regulatory compliance, and reimbursement processes within skilled nursing and post-acute care settings. Identify trends and root causes to implement corrective action plans and deliver training to ensure adherence to federal and state regulations.
The Claims Auditor ensures the accuracy of claims processing in compliance with department policies, CMS, and DMHC regulations. Responsibilities include conducting pre and post-payment audits, documenting findings for correction, and providing process improvement recommendations to management.
Responsible for planning, developing, and delivering technical training and mentoring for the Clinical Chart Validation team to improve audit productivity and accuracy. Collaborates with subject matter experts to validate workflows and ensure consistent application of clinical guidelines for improper payment assessments.
Conduct second-party QMS audits across RTX business units to ensure compliance with ISO9001 and 91XX standards. Lead audit planning, issue detailed reports, and approve corrective action plans to drive continuous improvement.
The role involves verifying and categorizing clinical information from telehealth calls to ensure data accuracy and compliance. Responsibilities include filling in missing documentation and flagging discrepancies for further review.
Quality Care Auditor
Advantage Behavioral Health Systems
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Full Time
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1 Week Ago
Advantage Behavioral Health Systems
The Quality Care Auditor reviews client records to ensure compliance with federal, state, and agency guidelines. They identify documentation trends, conduct internal audits, and facilitate training to improve programmatic integrity.
Coordinates revenue integrity and charge-related denials to ensure compliant clinical documentation and revenue optimization. Performs routine chart reviews and provides education to clinical colleagues to identify and address charge-related trends.
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Conduct internal and external quality audits focused on ICD-10 code abstraction accuracy and completeness. Manage risk adjustment operations, including medical record reviews and the implementation of process improvements to maximize risk adjustment factors.
Internal Auditor II (Full-time Remote, North Carolina Based)
Alliance Health
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Full Time
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1 Week Ago
Alliance Health
The Internal Auditor II performs senior-level audit work, preparing audit programs and reviewing functions for soundness and compliance with IIA Global Internal Audit Standards. The role involves evaluating governance, risk management, and internal controls while mentoring junior audit staff.
Revenue Integrity Anesthesia Auditor
Shriners Children's
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Full Time
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1 Week Ago
Shriners Children's
The Anesthesia Auditor systematically reviews anesthesia records to ensure accuracy, completeness, and compliance with regulatory and institutional standards. They identify documentation gaps, monitor error trends, and collaborate with clinical and billing departments to improve processes.
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.
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