Audit and evaluate chatbot conversations based on naturalness, utility, and audio quality. Use a proprietary platform to ensure AI-driven communication meets project guidelines.
Remote Auditor Jobs (478)
Search = auditor
Review and audit DRG and ICD-10-CM/PCS coding assignments for accuracy within the coding disputes team. Collaborate with coding professionals to ensure compliance, quality, and timeliness of dispute outcomes while communicating results to providers.
Coding Quality Review Auditor - Ambulatory (Remote)
Adventist Health
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Full Time
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2 Weeks Ago
Adventist Health
Performs quality reviews and audits to ensure compliance with DRG, ICD-10/PCS, and CPT coding guidelines. Acts as a subject matter expert to improve data integrity, physician documentation, and reimbursement accuracy.
Conduct information security and compliance audits for financial services organizations to help them meet regulatory requirements. Manage the entire engagement process from kickoff to final report delivery and collaborate with security assessment teams.
Responsible for auditing Hospital and Professional Billing accounts with a focus on technical and clinical denials and insurance follow-up workflows. The role involves conducting root cause analysis to identify error trends and providing coaching to operations teams to ensure compliance and optimal reimbursement.
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US Auditor (Latin America)
Cloud Accountant Staffing
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Full Time
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2 Weeks Ago
Cloud Accountant Staffing
Plan and execute US external audits, including risk assessment, control testing, and substantive procedures for diverse clients. Document audit findings and provide remediation recommendations to strengthen client internal controls.
Auditor Clinical Validation Outpatient Specialty Clinical
Cotiviti
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Full Time
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2 Weeks Ago
Cotiviti
Perform clinical and coding audits for outpatient and specialty claims to ensure accuracy and medical necessity. Document audit results and suggest process improvements to enhance recovery and client satisfaction.
Responsible for auditing outpatient and specialty claims to ensure coding accuracy, medical necessity, and appropriateness of treatment settings. The role involves utilizing audit tools to document results and suggesting process improvements to enhance recovery and client satisfaction.
Lead and execute EHS compliance, process safety, and risk management audits for diverse industrial clients. Develop compliance strategies, provide regulatory interpretations, and manage client relationships to grow the business base.
Responsible for planning and conducting audits for clients with a focus on ISO 9001 and the food industry. Tasks include writing audit reports in German or English and issuing certification recommendations.
Financial Senior Auditor (State Senior Auditor/State Staff Auditor - Underfill Option)
State of Oregon
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Full Time
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2 Weeks Ago
State of Oregon
Conduct and issue financial and compliance audits while investigating the potential misuse of state resources by agencies and contractors. Responsibilities include reviewing accounting systems, evaluating internal controls, and analyzing financial trends and variances.
Perform complex IT audits, internal controls, and SOX projects to ensure controls are designed and operating effectively. This includes reviewing infrastructure, application controls, and cyber security while collaborating with management and external auditors.
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.
Conducts high-volume internal audits of physician medical records to ensure documentation and coding accuracy. Provides educational sessions for coders and clinical staff based on audit findings to optimize revenue and maintain compliance.
Perform risk-based audits of critical business processes to evaluate internal control effectiveness and identify improvement opportunities. Create process maps, prepare audit reports, and analyze data streams to provide actionable insights for senior management.
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 sessions, and presenting findings to leadership to improve clinical outcomes and reimbursement.
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.
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The IT Auditor performs design and operating effectiveness testing for Sarbanes Oxley IT General Controls and conducts ITGC walkthroughs. They are responsible for drafting control deficiencies with root cause analysis and participating in various IT audits including cybersecurity and system implementations.
The role involves auditing inpatient medical records for accuracy in diagnosis, procedure coding, and DRG assignment to ensure appropriate reimbursement. Additionally, the position provides ongoing education and training to coders, physicians, and clinical staff.
Deliver AS9100 and ISO9001 audit services to clients, including preparing assessment reports and recommending certification decisions. Manage client accounts, schedule visits, and lead assessment teams to ensure high-quality service delivery.
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.
Perform payment, procedural, and compliance audits on health plan claims to ensure accuracy and adherence to regulations. Analyze claim errors and provide reports to management to improve workflows and resolve complex processing issues.
As a Staff Auditor, you will execute remote audits, support inventory activities, and collaborate with cross-functional teams to ensure compliance. You will also develop and implement audit plans and participate in special projects as needed.
Perform Quality Management Systems (QMS) and technical audits for manufacturing and oil and gas service organizations. Support the American Petroleum Institute (API) by auditing against product specifications, performance criteria, and contract requirements.
Perform Quality Management Systems (QMS) and technical audits for manufacturing and oil and gas service organizations. Support the American Petroleum Institute by auditing against product specifications, performance criteria, and contract requirements.
The role involves conducting FISMA and FedRAMP assessments, including evidence review and SSP testing. The consultant will communicate with clients and management while drafting quality audit reports.
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The role involves conducting FISMA and FedRAMP assessments, including evidence review and SSP testing. The consultant will communicate with clients and management while drafting quality reports for senior review.
Lead and manage FISMA and FedRAMP client engagements from initiation to closure, ensuring quality reports and compliance. Provide mentorship to staff consultants and contribute to the development of technical assessment strategies and methodologies.
Conduct detailed audits of high-complexity stop loss claims files to ensure accuracy and regulatory compliance. Document findings, identify trends, and collaborate with departments to implement corrective actions and improve claim practices.
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.
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