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.
Remote Auditor Jobs (478)
Search = auditor
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.
Claims Auditor
Western Growers Family of Companies
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Full Time
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3 Weeks Ago
Western Growers Family of Companies
Perform in-depth audits of medical and dental benefit plans to ensure compliance with summary plan descriptions and regulatory standards. Identify processing errors, prepare trend reports for management, and provide technical training to claims staff.
Outpatient Coding Auditor, Senior Associate
Gainwell Technologies LLC
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Full Time
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3 Weeks Ago
Gainwell Technologies LLC
The Outpatient Coding Auditor, Senior Associate is responsible for performing coding reviews of medical records to determine correct coding. This includes auditing medical records, documenting findings, and providing policy/regulatory support.
Senior Internal Auditor (CPA, CIA, CFE, CCEP certs preferred)
Vanderbilt University Medical Center
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Full Time
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3 Weeks Ago
Vanderbilt University Medical Center
The Senior Internal Auditor performs assessments of operational, compliance, and financial internal controls, leading project planning and risk assessments. They also coach the development of auditors and make recommendations for improved controls.
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Responsible for maintaining coded data quality through ongoing audits of inpatient and outpatient records to ensure accuracy of APC and MS-DRGs. The role involves managing payer denials, writing appeal letters, and providing education and mentorship to the coding team.
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.
The role involves performing audits for Quick Service Restaurant (QSR) operations to ensure compliance and quality. The auditor supports the supply chain and clinical solutions to improve operational outcomes.
Perform medical record reviews and billing compliance audits for Indiana Health Coverage Programs to ensure adherence to CMS and AMA standards. Identify documentation deficiencies and prepare detailed audit reports and appeals documentation.
The QA Auditor conducts audits of appeal writers and automated processes to ensure adherence to internal policies and regulatory requirements in denials management. They provide constructive feedback to staff and develop performance improvement plans to optimize operational efficiency.
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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3 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.
Senior Field Premium Auditor
Republic Indemnity (Great American Insurance Group)
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Full Time
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3 Weeks Ago
Republic Indemnity (Great American Insurance Group)
Conduct thorough audits of insureds' financial records to verify premium accuracy and ensure compliance with company and legal regulations. Collaborate with internal departments and policyholders to resolve discrepancies and prepare detailed audit reports for management.
Senior Field Premium Auditor
Great American Insurance Group
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Full Time
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3 Weeks Ago
Great American Insurance Group
Conduct thorough audits of insureds' financial records and payroll to verify premium accuracy and compliance. Collaborate with internal departments and policyholders to resolve discrepancies and prepare detailed audit reports for management.
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.
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.
Conduct clinical coding reviews of MS-DRG and APR-DRG assignments to identify overpayments and ensure billing accuracy. Compose detailed rationales supporting audit findings based on official coding guidelines and clinical criteria.
Responsible for completing, appealing, and reporting clinical denial reviews to reduce financial risk from payer denials. The role involves combining clinical, financial, and regulatory knowledge to manage post-billing denials.
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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.
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.
Develop and execute retail audit concepts to identify recoverable claims and improve audit processes for clients. Provide quality control oversight for auditor claims and manage client disputes regarding contract terms.
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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4 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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4 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.
Compliance & Education Auditor, Access Ambulatory Scheduling, Full Time, First Shift
UCHealth
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Full Time
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4 Weeks Ago
UCHealth
Reviews unit staff work for accuracy in data entry, demographics, and financial information. Provides feedback and develops educational materials to minimize financial risk through accurate insurance verification.
Inpatient Coding Compliance Auditor - HIM - FT - Days - Remote Eligible
Memorial Healthcare
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Full Time
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4 Weeks Ago
Memorial Healthcare
Responsible for auditing inpatient and outpatient medical records to ensure coding accuracy and compliance with regulatory guidelines. Provides education and training to coding staff and physicians while resolving claim denials with the Revenue Cycle Department.
Ensure the accurate processing of medical claims by conducting pre-payment, post-payment, and auto-adjudication audits. Identify root causes of errors to improve standard processing guidelines and collaborate with cross-functional teams to resolve systemic quality issues.
S-CPT-0044 GoHighLevel (GHL) Systems Auditor & Optimization Specialist
20four7VA
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Full Time
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4 Weeks Ago
20four7VA
Conduct a comprehensive audit of existing GoHighLevel setups to identify inefficiencies and implement high-level optimizations. Provide strategic guidance and integrate third-party tools to maximize the platform's AI and automation capabilities.
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The role involves assessing and validating security risk policies and testing controls to ensure adherence to regulatory obligations and frameworks. The auditor collaborates with stakeholders to identify gaps, validate evidence, and recommend improvements for remediation.
The Pharmacy Auditor manages and performs prescription drug claim and rebate audits to ensure compliance with contractual and regulatory guidelines. This role involves collaborating with PBMs and clients to resolve exceptions and presenting detailed audit findings and recommendations.
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.
Review medical bills to identify coding errors, billing discrepancies, and savings opportunities. Collaborate with internal teams to resolve complex claim issues and provide guidance to junior analysts.
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